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General NPI Number Information
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NPI Number | 1023808359
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Entity Type | Organization
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Legal Business Name | SHALENE BADHAN MD PLLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3201 S AUSTIN AVE STE 325
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City | GEORGETOWN
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State | TX
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Zip | 78626-7642
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Country | US
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Telephone | 512-717-5077
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Fax | 512-713-0844
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Provider Business Mailing Address
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Address Line | 3201 S AUSTIN AVE STE 325
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City | GEORGETOWN
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State | TX
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Zip | 78626-7642
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Country | US
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Telephone | 512-717-5077
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Fax | 512-713-0844
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Authorized Official
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Title or Position | CEO/MD
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Name | DR. SHALENE BADHAN
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Credential | MD
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Telephone | 512-717-5077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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