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General NPI Number Information
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NPI Number | 1699980920
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Entity Type | Individual
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Provider Name | SHAHIN MADI D.M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 23271 N SCOTTSDALE RD STE A106
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4484
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Country | US
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Telephone | 480-544-2383
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Fax |
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Provider Business Mailing Address
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Address Line | 8236 N 62ND PL
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-2645
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Country | US
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Telephone | 480-215-2859
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 34761
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | S4-83C
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | D7175
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License Number State | AZ
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