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General NPI Number Information
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NPI Number | 1245071802
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Entity Type | Organization
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Legal Business Name | AKAK GROUP LLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 3000 HADLEY RD
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-1183
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Country | US
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Telephone | 908-279-6890
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Fax | 908-276-9801
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Provider Business Mailing Address
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Address Line | 3000 HADLEY RD
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-1183
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AVANI VORA-SHAH
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Credential |
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Telephone | 908-642-8537
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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 |
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License Number State |
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