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General NPI Number Information
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NPI Number | 1871955096
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Entity Type | Individual
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Provider Name | SAVAN SAMIR SHAH
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Gender | Male
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Dates
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Enumeration Date | 03/26/2016
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 400 PINELLAS ST STE 300
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City | CLEARWATER
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State | FL
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Zip | 33756-3314
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Country | US
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Telephone | 727-447-8100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102222
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City | ATLANTA
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State | GA
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Zip | 30368-3475
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Country | US
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Telephone | 239-432-8500
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME139663
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME139663
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | ME139663
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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