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General NPI Number Information
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NPI Number | 1386625887
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Entity Type | Individual
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Provider Name | ANN LOUISE SHAH NP
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Gender | Female
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1110 W LA PALMA AVE #7
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City | ANAHEIM
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State | CA
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Zip | 92801-2821
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Country | US
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Telephone | 714-956-9201
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Fax |
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Provider Business Mailing Address
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Address Line | 10452 SHADYRIDGE DR
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City | SANTA ANA
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State | CA
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Zip | 92705-1587
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Country | US
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Telephone |
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 303810
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License Number State | CA
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