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General NPI Number Information
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NPI Number | 1376614180
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Entity Type | Individual
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Provider Name | NEHA PARESH SHAH DMD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2A NORTH ROAD
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City | CHESTER
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State | NJ
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Zip | 07930
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Country | US
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Telephone | 908-879-7709
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Fax | 908-879-8367
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Provider Business Mailing Address
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Address Line | 17 SUMMERHILL DR
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950
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Country | US
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Telephone | 973-768-6922
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Fax | 973-879-8367
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 22DI102190701
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License Number State | NJ
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