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General NPI Number Information
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NPI Number | 1588996847
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Entity Type | Individual
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Provider Name | MICHAEL SHAUN NAGAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 211 S GULPH RD STE 200
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3101
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Country | US
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Telephone | 610-382-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 140 W GERMANTOWN PIKE STE 200
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1421
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Country | US
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Telephone | 484-530-0205
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Fax | 484-530-0209
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD438907
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License Number State | PA
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