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General NPI Number Information
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NPI Number | 1538587506
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Entity Type | Individual
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Provider Name | SHALENE AMIN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6064 S FORT APACHE RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-5350
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Country | US
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Telephone | 702-940-8007
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Fax | 702-832-1940
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Provider Business Mailing Address
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Address Line | PO BOX 400670
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City | LAS VEGAS
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State | NV
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Zip | 89140-0670
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Country | US
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Telephone | 702-940-8007
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Fax | 702-832-1940
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 302262
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 302262
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 26676
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License Number State | NV
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