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General NPI Number Information
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NPI Number | 1144424722
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Entity Type | Individual
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Provider Name | SWATI M SHAH MBBS
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 9765 SAN JOSE BLVD STE 103
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City | JACKSONVILLE
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State | FL
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Zip | 32257-5467
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Country | US
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Telephone | 904-517-8222
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Fax | 904-517-1222
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Provider Business Mailing Address
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Address Line | 2255 GLADES RD STE 228W
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City | BOCA RATON
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State | FL
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Zip | 33431-7391
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Country | US
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Telephone | 904-517-8222
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME98418
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License Number State | FL
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