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General NPI Number Information
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NPI Number | 1477717460
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Entity Type | Organization
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Legal Business Name | RAMESH R SHAH, .M.D, P.C.
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 1703 W 30TH ST STE B
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City | JOPLIN
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State | MO
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Zip | 64804-1603
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Country | US
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Telephone | 417-781-2616
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Fax | 417-781-2934
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Provider Business Mailing Address
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Address Line | 1703 W 30TH ST STE B
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City | JOPLIN
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State | MO
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Zip | 64804-1603
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Country | US
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Telephone | 417-781-2616
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Fax | 417-781-2934
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Authorized Official
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Title or Position | INSURANCE BILLING
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Name | MRS. CHRISTINA M LOW
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Credential |
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Telephone | 417-781-2616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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