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General NPI Number Information
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NPI Number | 1154642916
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Entity Type | Organization
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Legal Business Name | KAMALESH T SHAH MD., INC
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 1251 S CEDAR CREST BLVD 102C
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City | ALLENTOWN
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State | PA
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Zip | 18103-6205
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Country | US
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Telephone | 610-821-1174
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Fax | 610-821-1186
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Provider Business Mailing Address
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Address Line | 1251 S CEDAR CREST BLVD 102C
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City | ALLENTOWN
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State | PA
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Zip | 18103-6205
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Country | US
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Telephone | 610-821-1174
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Fax | 610-821-1186
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAMALESH SHAH
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Credential | M.D.,
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Telephone | 610-821-1174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD043521E
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License Number State | PA
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