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General NPI Number Information
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NPI Number | 1811033889
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Entity Type | Organization
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Legal Business Name | KUMAR SHAH MD
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 304 LIVINGSTON ST APT 2B
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City | BROOKLYN
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State | NY
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Zip | 11217-1034
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Country | US
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Telephone | 718-222-1065
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Fax | 215-261-1529
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Provider Business Mailing Address
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Address Line | 304 LIVINGSTON ST APT 2B
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City | BROOKLYN
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State | NY
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Zip | 11217-1034
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Country | US
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Telephone | 718-222-1065
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Fax | 215-261-1529
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Authorized Official
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Title or Position | PHYSICIAN IN PRACTICE
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Name | MR. KUMARPAL A SHAH
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Credential | MD
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Telephone | 718-222-1065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 139486
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License Number State | NY
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