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General NPI Number Information
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NPI Number | 1497075295
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Entity Type | Individual
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Provider Name | LESHA DILIP SHAH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1 GUSTAVE LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 212-659-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 156 ROLLING HILLS RD
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City | CLIFTON
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State | NJ
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Zip | 07013-4123
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Country | US
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Telephone | 973-868-0909
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 273056
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License Number State | NY
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