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General NPI Number Information
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NPI Number | 1902720188
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Entity Type | Individual
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Provider Name | NIKI SHAH
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Gender | Female
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 8111 LYNDON B JOHNSON FWY
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City | DALLAS
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State | TX
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Zip | 75251-1313
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Country | US
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Telephone | 469-425-9491
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Fax |
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Provider Business Mailing Address
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Address Line | 832 WILLOW STREAM DR
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City | LAVON
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State | TX
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Zip | 75166-2207
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 74248
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License Number State | TX
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