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General NPI Number Information
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NPI Number | 1548480270
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Entity Type | Individual
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Provider Name | MICHAEL S. SHAHLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 10621 AIRPORT PULLING RD N SUITE 1
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City | NAPLES
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State | FL
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Zip | 34109-1599
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Country | US
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Telephone | 239-330-9999
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Fax | 239-330-1473
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Provider Business Mailing Address
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Address Line | 10621 AIRPORT PULLING RD N SUITE 1
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City | NAPLES
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State | FL
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Zip | 34109-7333
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Country | US
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Telephone | 239-330-9999
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Fax | 239-330-1473
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME99285
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License Number State | FL
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