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General NPI Number Information
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NPI Number | 1528563871
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Entity Type | Individual
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Provider Name | AASHIKI SHAH DO
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 1 RWJ PL
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1928
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Country | US
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Telephone | 732-235-7883
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Fax |
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Provider Business Mailing Address
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Address Line | 97 N BEVERWYCK RD APT A
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City | LAKE HIAWATHA
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State | NJ
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Zip | 07034-2204
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Country | US
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Telephone | 973-572-8043
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MB11049700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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