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General NPI Number Information
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NPI Number | 1164443255
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Entity Type | Organization
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Legal Business Name | SHAMAL D NADKARNI MD PA
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1050 NW 8TH AVE STE 30
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City | GAINESVILLE
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State | FL
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Zip | 32601-4998
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Country | US
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Telephone | 352-271-3200
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Fax | 877-339-2294
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Provider Business Mailing Address
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Address Line | 1050 NW 8TH AVE STE 30
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City | GAINESVILLE
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State | FL
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Zip | 32601-4998
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Country | US
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Telephone | 352-271-3200
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Fax | 352-271-3900
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAMAL D NADKARNI
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Credential | MD
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Telephone | 352-271-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | FL
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