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General NPI Number Information
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NPI Number | 1437074218
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Entity Type | Individual
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Provider Name | DHARA SHETH PT
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 825 E GATE BLVD
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City | GARDEN CITY
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State | NY
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Zip | 11530-2124
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Country | US
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Telephone | 516-321-9762
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Fax |
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Provider Business Mailing Address
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Address Line | 62 BROOKLAWN DR
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-3139
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Country | US
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Telephone | 647-889-6263
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02418800
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License Number State | NJ
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