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General NPI Number Information
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NPI Number | 1508830431
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Entity Type | Individual
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Provider Name | REKHA SHAH MD
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 12/26/2016
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Provider Practice Location Address
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Address Line | 2055 E SOUTHERN AVE STE B
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City | TEMPE
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State | AZ
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Zip | 85282-7507
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Country | US
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Telephone | 480-704-3446
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Fax | 480-345-7248
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Provider Business Mailing Address
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Address Line | 1726 E KNOX RD
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City | TEMPE
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State | AZ
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Zip | 85284-3330
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Country | US
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Telephone | 602-692-5150
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Fax | 480-345-7248
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 13939
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License Number State | AZ
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