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General NPI Number Information
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NPI Number | 1154291664
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Entity Type | Individual
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Provider Name | AMIT V SHAH
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Gender | Male
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 3110 STATE ROUTE 27 STE 1B
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1627
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Country | US
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Telephone | 732-712-2090
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Fax |
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Provider Business Mailing Address
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Address Line | 191 W UPPER FERRY RD
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City | EWING
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State | NJ
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Zip | 08628-2729
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Country | US
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Telephone | 609-510-5845
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02382200
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License Number State | NJ
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