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General NPI Number Information
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NPI Number | 1396033437
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Entity Type | Individual
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Provider Name | RUCHIR ASHWINBHAI SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 100 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-971-5198
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Fax | 973-605-8854
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Provider Business Mailing Address
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Address Line | 465 SOUTH ST STE 103
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6442
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Country | US
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Telephone | 973-971-5198
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Fax | 973-605-8854
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2015-00864
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME143061
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 337993
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 53888
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 01082180A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 53888
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 2015-00864
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA11699900
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License Number State | NJ
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