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General NPI Number Information
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NPI Number | 1184705683
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Entity Type | Individual
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Provider Name | ALLEN SHAH M.D
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 701 E EL CAMINO REAL
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2833
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Country | US
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Telephone | 650-934-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 W EL CAMINO REAL 2ND FLOOR
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-6201
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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 |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A72438
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License Number State | CA
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