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General NPI Number Information
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NPI Number | 1316092026
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Entity Type | Individual
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Provider Name | JILAN SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 320
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4717
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Country | US
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Telephone | 305-740-6074
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 BRICKELL AVE UNIT 2103
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City | MIAMI
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State | FL
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Zip | 33131-3766
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Country | US
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Telephone | 646-207-5799
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 228373
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License Number State | NY
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