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General NPI Number Information
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NPI Number | 1184371866
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Entity Type | Individual
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Provider Name | SAIF SHAH DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 215 N FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93701-2312
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Country | US
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Telephone | 559-459-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 215 N FRESNO ST STE 490
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City | FRESNO
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State | CA
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Zip | 93701-2363
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Country | US
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Telephone | 559-459-4191
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DR61286078
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 111740
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License Number State | CA
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