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General NPI Number Information
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NPI Number | 1043453079
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Entity Type | Individual
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Provider Name | HARSHIT RAJESHBHAI SHAH M.D
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Gender | Male
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 9500 STOCKDALE HWY STE 201
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3621
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Country | US
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Telephone | 661-327-1431
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Fax | 661-321-3286
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Provider Business Mailing Address
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Address Line | 3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A117974
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License Number State | CA
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