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General NPI Number Information
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NPI Number | 1376676577
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Entity Type | Individual
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Provider Name | SHVETA BAGAI P.T.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 15 NEIL CT INSIDE JCC
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City | OCEANSIDE
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State | NY
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Zip | 11572-5815
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Country | US
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Telephone | 516-766-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 15 NEIL CT
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City | OCEANSIDE
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State | NY
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Zip | 11572-5815
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Country | US
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Telephone | 516-745-8050
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 027889-1
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License Number State | NY
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