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General NPI Number Information
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NPI Number | 1073137790
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Entity Type | Organization
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Legal Business Name | SHAH PLASTIC SURGERY PLLC
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 352 7TH AVENUE, UNIT 1503
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 914-341-2702
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Fax |
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Provider Business Mailing Address
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Address Line | 550 W 54TH ST APT 30C
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City | NEW YORK
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State | NY
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Zip | 10019-6056
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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 | OWNER
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Name | NILAY SHAH
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Credential | MD
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Telephone | 914-341-2702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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