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General NPI Number Information
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NPI Number | 1477557437
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Entity Type | Individual
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Provider Name | RINOO VASANT SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 3900 JUNIUS ST STE 705
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City | DALLAS
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State | TX
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Zip | 75246-1627
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Country | US
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Telephone | 469-800-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 825 W ROYAL LN STE 230
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City | IRVING
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State | TX
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Zip | 75039-3901
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Country | US
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Telephone | 570-888-5858
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A205878-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | L4708
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A205878-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD428582
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD428582
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | L4708
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License Number State | TX
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