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General NPI Number Information
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NPI Number | 1396731931
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Entity Type | Individual
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Provider Name | PARESH SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 08/29/2010
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Provider Practice Location Address
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Address Line | 1008 HARRISON ST
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City | FRANKTON
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State | IN
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Zip | 46044-9783
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Country | US
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Telephone | 765-754-7557
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Fax | 765-754-7140
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Provider Business Mailing Address
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Address Line | 1008 HARRISON ST
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City | FRANKTON
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State | IN
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Zip | 46044-9783
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Country | US
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Telephone | 765-754-7557
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Fax | 765-754-7140
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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 | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 01038430
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01038430
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License Number State | IN
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