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General NPI Number Information
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NPI Number | 1497264220
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Entity Type | Individual
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Provider Name | DHARA SHAH LCPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 550 FOREST AVE STE 201
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City | PORTLAND
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State | ME
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Zip | 04101-1505
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Country | US
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Telephone | 207-420-2759
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Fax |
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Provider Business Mailing Address
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Address Line | 605 97TH AVE N
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City | NAPLES
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State | FL
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Zip | 34108-2280
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Country | US
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Telephone | 207-598-0995
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC7426
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License Number State | ME
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