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General NPI Number Information
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NPI Number | 1972132645
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Entity Type | Individual
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Provider Name | YASH DIPAK SHAH MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2020
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Last Update Date | 06/22/2024
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Provider Practice Location Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone | 504-703-1540
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60352
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City | SAINT LOUIS
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State | MO
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Zip | 63160-0352
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Country | US
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Telephone | 314-362-1700
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Fax | 314-362-9878
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2023026673
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2023026673
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 342319
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License Number State | LA
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