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General NPI Number Information
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NPI Number | 1720013733
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Entity Type | Organization
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Legal Business Name | SHIRISH A. AMIN M.D., P.C.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 1265 WAYNE AVE 119 PROFESSIONAL CENTER SUITE 301
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City | INDIANA
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State | PA
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Zip | 15701-3501
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Country | US
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Telephone | 724-465-6650
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Fax | 724-357-9281
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Provider Business Mailing Address
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Address Line | 1265 WAYNE AVE 119 PROFESSIONAL CENTER SUITE 301
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City | INDIANA
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State | PA
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Zip | 15701-3501
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Country | US
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Telephone | 724-465-6650
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Fax | 724-357-9281
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SHIRISH A AMIN
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Credential | M.D.
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Telephone | 724-465-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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