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General NPI Number Information
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NPI Number | 1982692836
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Entity Type | Individual
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Provider Name | SHAILEN SHAH M.D
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 101 CARNIE BLVD
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City | VOORHEES
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State | NJ
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Zip | 08043-1548
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Country | US
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Telephone | 856-325-3328
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Fax | 856-325-3276
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N 40 LAKE CENTER DRIVE SUITE 201A
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City | MARLTON
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State | NJ
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Zip | 08053-3425
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Country | US
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Telephone | 856-355-0340
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Fax | 856-355-0346
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 25MA06779400
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License Number State | NJ
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