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General NPI Number Information
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NPI Number | 1881600898
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Entity Type | Individual
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Provider Name | SAMIR S SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE. ML 9016, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-6222
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Fax | 513-636-4402
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE. ML 9016, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-6222
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Fax | 513-636-4402
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.097238
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 35.097238
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License Number State | OH
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