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General NPI Number Information
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NPI Number | 1821262940
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Entity Type | Individual
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Provider Name | PAULA SHAH MALHOTRA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 429 S COUNTY LINE RD
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City | HINSDALE
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State | IL
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Zip | 60521-4724
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Country | US
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Telephone | 630-815-3181
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Fax |
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Provider Business Mailing Address
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Address Line | 429 S COUNTY LINE RD
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City | HINSDALE
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State | IL
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Zip | 60521-4724
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Country | US
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Telephone | 630-815-0318
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036129523
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License Number State | IL
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