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General NPI Number Information
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NPI Number | 1649442542
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Entity Type | Organization
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Legal Business Name | DR. DARSHINI SHAH, DDS PLLC
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 14602 89TH AVE
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City | JAMAICA
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State | NY
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Zip | 11435-3638
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Country | US
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Telephone | 718-523-8438
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Fax |
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Provider Business Mailing Address
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Address Line | 28 DYCKMAN AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-5049
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Country | US
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Telephone | 516-424-1721
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | DR. DARSHINI P SHAH
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Credential |
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Telephone | 516-424-1721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 049829
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License Number State | NY
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