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General NPI Number Information
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NPI Number | 1831252824
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Entity Type | Organization
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Legal Business Name | NARENDRA SHAH MD PC INC.
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 101 CAMBRIDGE ST STE 100
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City | BURLINGTON
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State | MA
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Zip | 01803-3767
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Country | US
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Telephone | 781-718-7716
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Fax |
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Provider Business Mailing Address
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Address Line | 6 STONEHILL CIR
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City | BURLINGTON
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State | MA
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Zip | 01803-1425
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Country | US
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Telephone | 781-710-4701
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Fax | 781-365-0302
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Authorized Official
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Title or Position | OWNER
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Name | NARENDRA K SHAH
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Credential | MD
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Telephone | 781-710-4701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34550
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License Number State | MA
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