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General NPI Number Information
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NPI Number | 1134650989
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Entity Type | Individual
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Provider Name | SAPAN HEMANT SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 901 HARRY S TRUMAN DR N
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-5477
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Country | US
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Telephone | 240-677-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE STE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-570-2040
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Fax | 847-733-5315
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A176139
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 1134650989
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D98199
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036177394
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License Number State | IL
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