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General NPI Number Information
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NPI Number | 1902153703
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Entity Type | Individual
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Provider Name | SARA SHAHI DDS
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Gender | Female
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 30 E 60TH ST
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City | NEW YORK
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State | NY
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Zip | 10022-1008
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Country | US
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Telephone | 212-317-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 335 GREENE AVE
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City | BROOKLYN
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State | NY
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Zip | 11238
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Country | US
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Telephone | 718-623-0893
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Fax | 718-623-0894
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 056839
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License Number State | NY
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