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General NPI Number Information
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NPI Number | 1508599531
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Entity Type | Individual
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Provider Name | JUHI SHAH
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Gender | Female
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 06/01/2025
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Provider Practice Location Address
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Address Line | 2 MOUNTAIN VIEW AVE
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City | LONG VALLEY
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State | NJ
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Zip | 07853-3122
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Country | US
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Telephone | 908-876-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 112 N 2ND ST APT 3D
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City | PHILADELPHIA
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State | PA
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Zip | 19106-1961
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Country | US
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Telephone | 732-293-7769
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS043791
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI0307120
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License Number State | NJ
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