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General NPI Number Information
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NPI Number | 1659353324
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Entity Type | Individual
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Provider Name | RUPEN K SHAH DDS
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 11767 KATY FWY STE 960
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City | HOUSTON
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State | TX
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Zip | 77079-1729
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Country | US
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Telephone | 281-558-1144
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Fax |
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Provider Business Mailing Address
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Address Line | 2919 DREWS MANOR CT
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City | KATY
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State | TX
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Zip | 77494-2274
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Country | US
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Telephone | 951-818-4228
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 35360
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License Number State | TX
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