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General NPI Number Information
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NPI Number | 1356205744
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Entity Type | Organization
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Legal Business Name | NEHAL M. SHAH DMD, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 5710 CAHALAN AVE STE 3
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City | SAN JOSE
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State | CA
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Zip | 95123-3010
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Country | US
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Telephone | 408-533-3383
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Fax |
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Provider Business Mailing Address
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Address Line | 608 AVENUE ONE
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City | SAN JOSE
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State | CA
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Zip | 95123-3643
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Country | US
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Telephone | 408-533-3393
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NEHAL MAHENDRA SHAH
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Credential | DMD
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Telephone | 408-533-3383
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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 |
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License Number State |
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