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General NPI Number Information
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NPI Number | 1831372606
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Entity Type | Organization
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Legal Business Name | GIRA S. SHAH, MD, PA
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 203 S. SEMINOLE AVE
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City | INVERNESS
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State | FL
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Zip | 34452
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Country | US
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Telephone | 352-726-7800
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Fax | 352-726-8300
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Provider Business Mailing Address
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Address Line | 203 S. SEMINOLE AVE.
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City | INVERNESS
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State | FL
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Zip | 34452
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Country | US
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Telephone | 352-726-7800
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Fax | 352-726-8300
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Authorized Official
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Title or Position | PRESIDENT
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Name | GIRA S SHAH
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Credential | MD
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Telephone | 352-726-7800
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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 | ME71583
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License Number State | FL
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