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General NPI Number Information
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NPI Number | 1093931180
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Entity Type | Organization
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Legal Business Name | ARTHUR SHAW, DDS, INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 7084 ARCHIBALD AVE STE 102
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City | EASTVALE
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State | CA
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Zip | 92880-8716
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Country | US
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Telephone | 626-826-2435
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Fax |
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Provider Business Mailing Address
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Address Line | 7084 ARCHIBALD AVE STE 102
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City | EASTVALE
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State | CA
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Zip | 92880-8716
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Country | US
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Telephone | 951-898-1388
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Fax | 951-898-1350
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARTHUR SHAW
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Credential |
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Telephone | 951-898-1388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 45466
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License Number State | CA
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