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General NPI Number Information
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NPI Number | 1851724751
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Entity Type | Individual
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Provider Name | SAMIR SHAH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 5325 ATLANTA HWY
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-3336
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Country | US
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Telephone | 770-967-3324
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Fax | 770-967-0830
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Provider Business Mailing Address
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Address Line | 3479 LILY MAGNOLIA CT
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City | BUFORD
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State | GA
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Zip | 30519-3858
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Country | US
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Telephone | 706-825-8182
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH024400
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License Number State | GA
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