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General NPI Number Information
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NPI Number | 1790721967
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Entity Type | Individual
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Provider Name | DANIEL SHIH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 7000 NORTH MOPAC SUITE 420
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City | AUSTIN
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State | TX
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Zip | 78731
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Country | US
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Telephone | 512-482-0045
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Fax | 512-476-9892
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Provider Business Mailing Address
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Address Line | 4301 W. WILLIAM CANNON DRIVE STE B 150 #273
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City | AUSTIN
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State | TX
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Zip | 78749
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Country | US
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Telephone | 512-358-0949
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L8954
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | M-14510
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License Number State | ID
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