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General NPI Number Information
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NPI Number | 1295668325
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Entity Type | Organization
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Legal Business Name | EPILEPSY EXCELLENCE OF GARDEN STATE PC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 985 PAULISON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-3629
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Country | US
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Telephone | 201-890-3253
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Fax |
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Provider Business Mailing Address
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Address Line | 985 PAULISON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-3629
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Country | US
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Telephone | 201-890-3253
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHIVANI V SHAH
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Credential | DO
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Telephone | 443-270-4233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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