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General NPI Number Information
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NPI Number | 1851549364
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Entity Type | Individual
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Provider Name | HAMID JAY SHAFI DDS
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Gender | Male
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 5201 E BELKNAP ST
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City | HALTOM CITY
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State | TX
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Zip | 76117-4608
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Country | US
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Telephone | 817-529-1791
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Fax | 817-529-1794
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Provider Business Mailing Address
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Address Line | 9090 SKILLMAN ST STE 200C
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City | DALLAS
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State | TX
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Zip | 75243-8263
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Country | US
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Telephone | 214-342-5757
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Fax | 214-340-4868
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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 | 24261
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 24261
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License Number State | TX
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