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General NPI Number Information
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NPI Number | 1588250617
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Entity Type | Individual
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Provider Name | SMITI SHAH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2020
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 200 W CRAWFORD ST
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City | DENISON
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State | TX
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Zip | 75020-4699
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Country | US
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Telephone | 903-465-6182
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Fax | 903-463-4772
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Provider Business Mailing Address
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Address Line | 11948 BROWNWOOD DR
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City | FRISCO
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State | TX
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Zip | 75035-8862
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Country | US
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Telephone | 347-260-2883
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 60567
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15801
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License Number State | OK
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