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General NPI Number Information
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NPI Number | 1578763397
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Entity Type | Organization
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Legal Business Name | STEPHANIE SHAH, MD, PA
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 6957 W PLANO PKWY STE 2000
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City | PLANO
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State | TX
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Zip | 75093-1623
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Country | US
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Telephone | 214-403-0682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 941010
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City | PLANO
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State | TX
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Zip | 75094-1010
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Country | US
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Telephone | 214-403-0682
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHANIE HUGGHINS SHAH
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Credential | MD
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Telephone | 214-403-0682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | L6175
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L7708
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G6715
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | N1568
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L4574
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M4242
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | F6873
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License Number State | TX
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