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General NPI Number Information
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NPI Number | 1538361290
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Entity Type | Individual
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Provider Name | MILIND NARENDRA SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 2000 GALLOPING HILL RD BUILDING K-16
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City | KENILWORTH
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State | NJ
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Zip | 07033-1310
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Country | US
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Telephone | 908-298-2835
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Fax | 908-298-2834
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Provider Business Mailing Address
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Address Line | 11 BISHOP PL
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1178
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Country | US
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Telephone | 732-516-9741
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Fax | 732-516-9741
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 25MA07453700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07453700
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License Number State | NJ
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