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General NPI Number Information
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NPI Number | 1497381388
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Entity Type | Individual
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Provider Name | VARUN SHAH MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 17480 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75287-7337
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Country | US
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Telephone | 972-488-8926
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST STE 2201
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | V4182
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License Number State | TX
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