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General NPI Number Information
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NPI Number | 1851462774
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Entity Type | Individual
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Provider Name | PARUL YOGENDRA SHAH MD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 8230 JOG ROAD
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City | BOYNTON BEACH
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State | FL
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Zip | 33472
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Country | US
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Telephone | 561-602-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 W PALMETTO PARK RD STE 110
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City | BOCA RATON
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State | FL
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Zip | 33433-3429
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Country | US
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Telephone | 561-602-5599
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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 | ME170211
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License Number State | FL
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