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General NPI Number Information
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NPI Number | 1952855314
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Entity Type | Individual
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Provider Name | PRIYA PATEL-SHAH M.S., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 702 JAMES AVE
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City | NASHVILLE
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State | TN
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Zip | 37209-1292
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Country | US
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Telephone | 918-549-0366
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Fax |
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Provider Business Mailing Address
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Address Line | 2714 MEYER PL
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City | PHILADELPHIA
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State | PA
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Zip | 19114-3497
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Country | US
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Telephone | 918-549-0366
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC06831
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License Number State | OK
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