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General NPI Number Information
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NPI Number | 1306191234
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Entity Type | Individual
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Provider Name | PALAK PARIKH SHAH DDS
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Gender | Female
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 6345 WOODSIDE CT STE 103
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City | COLUMBIA
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State | MD
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Zip | 21046-3224
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Country | US
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Telephone | 104-312-5660
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Fax | 410-312-5662
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Provider Business Mailing Address
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Address Line | 6520 LIMERICK CT
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1546
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Country | US
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Telephone | 443-745-1176
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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 | 15120
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License Number State | MD
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