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General NPI Number Information
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NPI Number | 1578661468
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Entity Type | Individual
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Provider Name | SHUBHA ADENI M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 3108 RANCH ROAD 620 S
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City | LAKEWAY
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State | TX
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Zip | 78738-5635
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Country | US
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Telephone | 512-654-4200
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Fax | 512-654-4201
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-724-8800
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L3217
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License Number State | TX
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