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General NPI Number Information
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NPI Number | 1245948033
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Entity Type | Individual
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Provider Name | SHAH FAHAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 2535 S DOWNING ST STE 100
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City | DENVER
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State | CO
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Zip | 80210-5848
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Country | US
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Telephone | 720-524-1367
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Fax | 720-524-1422
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Provider Business Mailing Address
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Address Line | 2535 S DOWNING ST STE 100
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City | DENVER
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State | CO
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Zip | 80210-5848
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Country | US
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Telephone | 720-524-1367
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Fax | 720-524-1422
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | R-12346
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 9750
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DR.73304
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License Number State | CO
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