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General NPI Number Information
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NPI Number | 1194262600
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Entity Type | Individual
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Provider Name | BIRVA SHAH PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2017
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Last Update Date | 01/22/2017
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Provider Practice Location Address
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Address Line | 501 WATER ST
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City | CHARDON
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State | OH
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Zip | 44024-1146
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Country | US
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Telephone | 440-286-4167
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Fax |
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Provider Business Mailing Address
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Address Line | 5171 BRECKSVILLE RD
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City | RICHFIELD
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State | OH
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Zip | 44286-9461
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Country | US
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Telephone | 330-808-9245
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03236496
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License Number State | OH
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