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General NPI Number Information
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NPI Number | 1508967498
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Entity Type | Individual
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Provider Name | TRUPTI SHAH MD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 27005 76TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1433
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Country | US
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Telephone | 718-147-0787
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Fax | 718-470-9113
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Provider Business Mailing Address
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Address Line | 175 COMMUNITY DR
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City | GREAT NECK
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State | NY
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Zip | 11021-5502
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Country | US
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Telephone | 541-646-5190
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Fax | 516-465-1830
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 240931
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License Number State | NY
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