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General NPI Number Information
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NPI Number | 1649686189
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Entity Type | Individual
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Provider Name | KARIM SHALLWANI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2014
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 3055 BARDIN RD
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-3816
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Country | US
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Telephone | 214-412-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 RIDGEWAY DR
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City | RICHARDSON
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State | TX
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Zip | 75080-6714
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Country | US
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Telephone | 818-322-8540
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 058930
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2026002824
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 32046
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License Number State | TX
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