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General NPI Number Information
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NPI Number | 1578183083
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Entity Type | Individual
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Provider Name | SHWETA BAJARIA (PT, DPT)
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Gender | Female
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 1150 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10128-1244
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Country | US
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Telephone | 951-427-0764
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 PARK AVE STE 1D
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City | NEW YORK
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State | NY
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Zip | 10128-1244
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Country | US
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Telephone | 212-594-0471
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Fax | 646-647-8070
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 044507
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License Number State | NY
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