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General NPI Number Information
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NPI Number | 1962086397
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Entity Type | Individual
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Provider Name | PRIYA NAYANESH SHAH DMD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 4910 MASSACHUSETTS AVE NW STE 311
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City | WASHINGTON
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State | DC
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Zip | 20016-4368
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Country | US
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Telephone | 202-237-2833
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Fax |
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Provider Business Mailing Address
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Address Line | 43490 YUKON DR STE 105
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City | ASHBURN
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State | VA
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Zip | 20147-7303
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Country | US
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Telephone | 703-665-4955
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401418574
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DEN2000319
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License Number State | DC
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