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General NPI Number Information
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NPI Number | 1669097846
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Entity Type | Organization
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Legal Business Name | SHANTI ANESTHESIOLOGY, PLLC
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 1695 W 24TH ST
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City | YUMA
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State | AZ
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Zip | 85364-6205
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Country | US
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Telephone | 480-473-7246
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Fax | 480-473-4942
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Provider Business Mailing Address
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Address Line | 4400 N SCOTTSDALE RD # 9717
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3331
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Country | US
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Telephone | 480-473-7246
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Fax | 480-473-4942
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. BILAL F. SHANTI
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Credential | MD
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Telephone | 480-473-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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