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General NPI Number Information
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NPI Number | 1962344994
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Entity Type | Organization
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Legal Business Name | MONA SHAH, MD, LLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 2919 W SWANN AVE STE 303
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City | TAMPA
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State | FL
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Zip | 33609-4051
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Country | US
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Telephone | 813-445-3140
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18842
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City | TAMPA
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State | FL
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Zip | 33679-8842
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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 | MANAGER
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Name | MONA SHAH
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Credential | MD
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Telephone | 813-445-3140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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