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General NPI Number Information
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NPI Number | 1588011696
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Entity Type | Organization
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Legal Business Name | RAKESH P SHAH MD PA
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 4766 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-5601
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Country | US
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Telephone | 727-848-0800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2407
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City | OLDSMAR
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State | FL
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Zip | 34677-0019
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Country | US
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Telephone | 727-848-0800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAKESH P SHAH
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Credential | MD
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Telephone | 727-848-0800
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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 | ME81977
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License Number State | FL
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