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General NPI Number Information
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NPI Number | 1114187903
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Entity Type | Individual
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Provider Name | SHAMITA TRIVEDI D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2008
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 12200 PARK CENTRAL DR STE 200
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City | DALLAS
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State | TX
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Zip | 75251-2120
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Country | US
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Telephone | 972-685-2740
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Fax |
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Provider Business Mailing Address
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Address Line | 12200 PARK CENTRAL DR STE 200
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City | DALLAS
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State | TX
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Zip | 75251-2120
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Country | US
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Telephone | 972-685-2740
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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 | N9003
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License Number State | TX
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