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General NPI Number Information
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NPI Number | 1154511913
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Entity Type | Organization
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Legal Business Name | LOPA SHAH DENTAL CORP
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 1214 APOLLO WAY #402
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City | SUNNYVALE
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State | CA
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Zip | 94085-5413
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Country | US
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Telephone | 408-737-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 APOLLO WAY #402
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City | SUNNYVALE
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State | CA
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Zip | 94085-5413
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LOPA SHAH
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Credential |
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Telephone | 408-737-0101
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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 | 47797
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License Number State | CA
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