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General NPI Number Information
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NPI Number | 1659759512
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Entity Type | Individual
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Provider Name | SHALIN PANDYA D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1528 EUREKA RD STE 102
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City | ROSEVILLE
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State | CA
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Zip | 95661-3047
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Country | US
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Telephone | 167-366-6449
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Fax | 916-774-0143
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Provider Business Mailing Address
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Address Line | 1111 EXPOSITION BLVD BLDG 700
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City | SACRAMENTO
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State | CA
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Zip | 95815-4314
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Country | US
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Telephone | 916-736-3399
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Fax | 916-736-3350
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 20A16270
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License Number State | CA
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