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Individual
PUJA DIPAKKUMAR SHAH
Active
Individual
PUJA DIPAKKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, CMSRN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN 700630
CA
363LF0000X
Family Nurse Practitioner
Primary
NP 21691
CA
Other
Enumeration date
05/02/2012
Last updated
12/22/2023
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