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General NPI Number Information
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NPI Number | 1215415476
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Entity Type | Individual
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Provider Name | MEHVASH S SHAHZADA DDS
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Gender | Female
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 2940 MALLORY CIR STE 101
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City | CELEBRATION
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State | FL
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Zip | 34747-1818
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Country | US
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Telephone | 407-566-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 8714 BECKINGHAM PL
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City | ORLANDO
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State | FL
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Zip | 32836-5752
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Country | US
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Telephone | 620-660-5136
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN27546
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 61471
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License Number State | KS
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