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General NPI Number Information
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NPI Number | 1629410121
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Entity Type | Individual
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Provider Name | ARCHANA SHENOY M.D
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Gender | Female
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE ML 1035
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City | CINCINNATI
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State | OH
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Zip | 45229
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Country | US
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Telephone | 513-636-4261
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Fax | 513-636-3924
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Provider Business Mailing Address
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Address Line | PO BOX 78000
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City | DETROIT
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State | MI
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Zip | 48278-1676
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Country | US
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Telephone | 614-722-5315
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Fax | 614-355-1597
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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 | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | 35.138922
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 2013020689
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | ME131663
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 35.138922
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | MT210541
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License Number State | PA
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