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General NPI Number Information
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NPI Number | 1588694335
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Entity Type | Individual
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Provider Name | ARVIND PUNJALAL SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1272 CENTRAL AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2234
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Country | US
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Telephone | 908-654-3525
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Fax | 908-654-3541
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Provider Business Mailing Address
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Address Line | 1272 CENTRAL AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2234
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Country | US
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Telephone | 908-654-3525
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Fax | 908-654-3541
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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 | 25MA03100800
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License Number State | NJ
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