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General NPI Number Information
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NPI Number | 1538025903
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Entity Type | Organization
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Legal Business Name | SAMSKARA HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 39 S FULLERTON AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-6303
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Country | US
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Telephone | 862-348-9554
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Fax |
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Provider Business Mailing Address
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Address Line | 111 TOWN SQUARE PL STE 1205
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City | JERSEY CITY
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State | NJ
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Zip | 07310-2783
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KOMAL YADAV
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Credential | MD
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Telephone | 609-356-9858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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