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General NPI Number Information
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NPI Number | 1184496648
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Entity Type | Organization
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Legal Business Name | STORY HEALTH PARTNERS OF NJ LLC
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 20823 STEVENS CREEK BLVD STE 400
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City | CUPERTINO
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State | CA
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Zip | 95014-2111
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Country | US
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Telephone | 408-538-5228
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Fax | 866-226-8774
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Provider Business Mailing Address
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Address Line | 20823 STEVENS CREEK BLVD STE 400
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City | CUPERTINO
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State | CA
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Zip | 95014-2111
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Country | US
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Telephone | 408-538-5228
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Fax | 866-226-8774
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. ASHUL GOVIL
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Credential | MD
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Telephone | 703-477-4662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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