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General NPI Number Information
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NPI Number | 1972832467
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Entity Type | Individual
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Provider Name | ASHISH SHAH MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 1201 11TH AVE S SUITE 200
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3410
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Country | US
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Telephone | 205-930-8950
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Fax | 205-930-8539
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Provider Business Mailing Address
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Address Line | 1313 13TH ST S 226
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City | BIRMINGHAM
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State | AL
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Zip | 35205-5327
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Country | US
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Telephone | 205-930-8950
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Fax | 205-930-8539
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | L3105F
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License Number State | AL
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