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General NPI Number Information
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NPI Number | 1427469287
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Entity Type | Organization
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Legal Business Name | DARSHINI SHAH DDS INC.
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 2652 ALUM ROCK AVE STE A
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City | SAN JOSE
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State | CA
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Zip | 95116-2663
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Country | US
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Telephone | 408-272-4229
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Fax | 408-272-0900
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Provider Business Mailing Address
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Address Line | 2652 ALUM ROCK AVE STE A
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City | SAN JOSE
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State | CA
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Zip | 95116-2663
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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 | PRESIDENT
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Name | DARSHINI SHAH
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Credential | DDS
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Telephone | 408-272-4229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 53868
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License Number State | CA
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