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General NPI Number Information
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NPI Number | 1679069538
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Entity Type | Individual
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Provider Name | RONAK RAKESH SHAH DO
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Gender | Male
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 8200 W SUNRISE BLVD BLDG C
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City | PLANTATION
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State | FL
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Zip | 33322-5426
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Country | US
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Telephone | 954-370-8585
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Fax | 954-370-1585
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Provider Business Mailing Address
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Address Line | 7351 W OAKLAND PARK BLVD STE 106
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City | TAMARAC
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State | FL
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Zip | 33319-7107
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Country | US
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Telephone |
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Fax | 954-578-2783
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 011203
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | OS19424
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License Number State | FL
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