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General NPI Number Information
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NPI Number | 1255742169
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Entity Type | Individual
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Provider Name | NEELAM S. SHAH D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 840 US 1 STE 350
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3834
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Country | US
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Telephone | 561-694-1740
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Fax |
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Provider Business Mailing Address
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Address Line | 12721 SW 27TH ST
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City | MIAMI
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State | FL
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Zip | 33175-2149
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1856764
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License Number State | MA
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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 | DN22848
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License Number State | FL
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