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General NPI Number Information
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NPI Number | 1073891289
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Entity Type | Individual
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Provider Name | KAHANI SHAH
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Gender | Female
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 91 MAIN ST
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City | NEW CANAAN
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State | CT
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Zip | 06840-4757
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Country | US
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Telephone | 203-966-4575
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Fax | 203-966-4577
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Provider Business Mailing Address
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Address Line | 100 NEW ROC CITY PLZ # 222
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-6525
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Country | US
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Telephone | 914-374-4274
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0011913
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License Number State | CT
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