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General NPI Number Information
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NPI Number | 1346927225
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Entity Type | Individual
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Provider Name | ASHKA SHAH DMD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1969 W OGDEN AVE
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City | CHICAGO
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State | IL
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Zip | 60612-3765
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Country | US
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Telephone | 312-864-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 520 E WASHINGTON ST APT 236
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-0111
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Country | US
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Telephone | 309-830-6811
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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 | 019.034381
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License Number State | IL
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