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General NPI Number Information
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NPI Number | 1972486371
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Entity Type | Individual
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Provider Name | ANUP H SHAH DMD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2355B FACULTY DR
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City | UNITED STATES AIR FORCE ACAD
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State | CO
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Zip | 80840-1802
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Country | US
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Telephone | 719-333-5192
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Fax |
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Provider Business Mailing Address
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Address Line | 2355B FACULTY DR
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City | UNITED STATES AIR FORCE ACAD
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State | CO
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Zip | 80840-1802
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Country | US
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Telephone | 719-333-5192
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS045385
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License Number State | PA
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