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General NPI Number Information
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NPI Number | 1821307273
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Entity Type | Individual
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Provider Name | PAMEE SHAH DDS
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Gender | Female
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 1711 S COLORADO ST STE D
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City | LOCKHART
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State | TX
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Zip | 78644-4616
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Country | US
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Telephone | 512-398-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 1154 LYDIA ST, STE 100
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City | AUSTIN
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State | TX
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Zip | 78702
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Country | US
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Telephone | 512-539-0093
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Fax | 512-539-0093
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 25806
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License Number State | TX
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