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General NPI Number Information
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NPI Number | 1447403332
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Entity Type | Organization
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Legal Business Name | NIMISH SHAH PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 463 WORCESTER RD SUITE 401
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5354
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Country | US
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Telephone | 508-834-3183
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Fax | 508-532-1168
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Provider Business Mailing Address
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Address Line | 463 WORCESTER RD SUITE 401
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5356
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Country | US
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Telephone | 508-834-3183
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Fax | 508-532-1168
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIMISH M SHAH
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Credential | DNP, CNS-BC
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Telephone | 508-834-3183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 230874
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License Number State | MA
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