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Individual
SHIVALI DAVE
Active
Individual
SHIVALI DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.006167
IL
363A00000X
Physician Assistant
Primary
PA56713
CA
363A00000X
Physician Assistant
—
NV
Other
Enumeration date
07/01/2017
Last updated
08/13/2026
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