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General NPI Number Information
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NPI Number | 1194729152
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Entity Type | Individual
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Provider Name | ATULKUMAR THAKORLAL SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1001 N WALDROP DR STE 509
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City | ARLINGTON
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State | TX
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Zip | 76012-4703
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Country | US
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Telephone | 817-394-4300
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Fax | 817-394-0200
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Provider Business Mailing Address
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Address Line | 950 E STATE HIGHWAY 114 STE 220
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City | SOUTHLAKE
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State | TX
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Zip | 76092-5240
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Country | US
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Telephone | 214-424-2200
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C167727
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C167727
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | J1039
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | C167727
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | J1039
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License Number State | TX
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