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General NPI Number Information
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NPI Number | 1437544483
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Entity Type | Individual
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Provider Name | SWAR HEMANT SHAH MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 3500 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-2017
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Country | US
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Telephone | 214-820-2139
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Fax | 214-820-6350
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Provider Business Mailing Address
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Address Line | 712 N WASHINGTON AVE STE 101
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City | DALLAS
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State | TX
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Zip | 75246-1657
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Country | US
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Telephone | 214-841-3053
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Fax | 214-826-9792
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | T1843
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | T1843
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License Number State | TX
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