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NPI 1023548229

NPI 1023548229 : DR. SHABANI AHLUWALIA : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1023548229
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    Entity Type          |    Individual 
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    Provider Name        |    DR. SHABANI AHLUWALIA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2017
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    Last Update Date     |    11/17/2025
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Provider Practice Location Address
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    Address Line         |    95 CHAMBERS ST # B 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10007-2095
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    Country              |    US
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    Telephone            |    212-535-5350
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 22581 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10087-2581
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    Country              |    US
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    Telephone            |    856-669-6050
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    Fax                  |    856-528-3117
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    25MB11076200
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    OT017914
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    License Number State |    PA
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