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General NPI Number Information
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NPI Number | 1881916864
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Entity Type | Individual
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Provider Name | HEENA ANKIT SHAH-PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 1282 W ARROW HWY STE 100
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City | UPLAND
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State | CA
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Zip | 91786-5040
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Country | US
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Telephone | 909-931-4034
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Fax | 909-931-2477
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Provider Business Mailing Address
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Address Line | 1282 W ARROW HWY STE 100
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City | UPLAND
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State | CA
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Zip | 91786-5040
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Country | US
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Telephone | 909-931-4034
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Fax | 909-931-2477
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | A118245
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A118245
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License Number State | CA
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