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General NPI Number Information
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NPI Number | 1508820309
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Entity Type | Organization
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Legal Business Name | D.K. SHAH MD, P.C.
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 27 GRAND ST
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City | KINGSTON
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State | NY
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Zip | 12401-3933
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Country | US
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Telephone | 845-338-1535
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Fax | 845-334-9879
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Provider Business Mailing Address
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Address Line | 27 GRAND ST
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City | KINGSTON
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State | NY
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Zip | 12401-3933
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Country | US
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Telephone | 845-338-1535
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Fax | 845-334-9879
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | DR. DUSHANTKUMAR K SHAH
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Credential | M.D.
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Telephone | 845-338-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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Taxonomy #7
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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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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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