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General NPI Number Information
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NPI Number | 1992863450
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Entity Type | Organization
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Legal Business Name | SALEM PEDIATRICS INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7111 NORTH MAIN ST
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City | DAYTON
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State | OH
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Zip | 45415-2565
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Country | US
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Telephone | 937-277-6595
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Fax | 937-277-6998
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Provider Business Mailing Address
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Address Line | 7111 NORTH MAIN ST
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City | DAYTON
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State | OH
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Zip | 45415-2565
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Country | US
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Telephone | 937-277-6595
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Fax | 937-277-6998
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAHESH M SHAH
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Credential |
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Telephone | 937-377-6595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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