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General NPI Number Information
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NPI Number | 1528768009
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Entity Type | Organization
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Legal Business Name | SHAANTI DHAAM LLC
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 24 US HIGHWAY 46
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City | WAYNE
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State | NJ
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Zip | 07470-6821
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Country | US
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Telephone | 973-519-7121
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Fax | 973-890-2225
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Provider Business Mailing Address
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Address Line | 22 DOIG RD
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City | WAYNE
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State | NJ
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Zip | 07470-7429
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Country | US
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Telephone | 973-519-7121
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Fax | 973-890-2225
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MEGHA GUGLANI
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Credential |
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Telephone | 973-519-7121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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