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General NPI Number Information
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NPI Number | 1265473243
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Entity Type | Individual
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Provider Name | DARSHINI PRAGNESH SHAH DDS
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 146-02 89TH AVE
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City | JAMAICA
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State | NY
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Zip | 11435
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Country | US
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Telephone | 718-523-8438
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Fax | 718-523-0240
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Provider Business Mailing Address
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Address Line | PO BOX 1059
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City | NEW HYDE PARK
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State | NY
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Zip | 11040
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Country | US
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Telephone | 516-248-8265
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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 | 049829
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License Number State | NY
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