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General NPI Number Information
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NPI Number | 1104377563
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Entity Type | Individual
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Provider Name | PRAPTI SHAH
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Gender | Female
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | ROUTE 17 & FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446
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Country | US
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Telephone | 201-327-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 5407 2ND AVE APT 3B
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City | BROOKLYN
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State | NY
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Zip | 11220-2608
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Country | US
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Telephone | 551-998-3070
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 061319
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License Number State | NY
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