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General NPI Number Information
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NPI Number | 1528933355
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Entity Type | Individual
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Provider Name | REENA SHAH
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 6111 SOUTHFRONT RD STE S
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City | LIVERMORE
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State | CA
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Zip | 94551-5136
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Country | US
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Telephone | 714-366-2071
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Fax |
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Provider Business Mailing Address
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Address Line | 6111 SOUTHFRONT RD STE S
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City | LIVERMORE
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State | CA
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Zip | 94551-5136
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Country | US
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Telephone | 714-366-2071
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4435
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License Number State | CA
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