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General NPI Number Information
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NPI Number | 1225612005
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Entity Type | Individual
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Provider Name | SHIVALI GOVANI
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Gender | Female
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Dates
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Enumeration Date | 05/08/2021
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 150 50TH STREET
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City | BROOKLYN
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State | NY
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Zip | 11220
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Country | US
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Telephone | 718-630-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 31 KATIE CT
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City | EAST HANOVER
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State | NJ
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Zip | 07936-3538
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Country | US
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Telephone | 862-579-7673
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 111331
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License Number State | CA
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