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NPI 1144024092

NPI 1144024092 : SHALIN SANDEEP SHAH : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1144024092
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    Entity Type          |    Individual 
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    Provider Name        |    SHALIN SANDEEP SHAH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/01/2025
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    Last Update Date     |    04/02/2025
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Provider Practice Location Address
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    Address Line         |    6560 FANNIN ST STE 944 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2706
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    Country              |    US
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    Telephone            |    713-441-3800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    639 POINT LOMA DR 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75036-8893
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    Country              |    US
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    Telephone            |    214-402-0003
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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