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General NPI Number Information
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NPI Number | 1609797273
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Entity Type | Individual
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Provider Name | SHAYNA GOLDBLATT MS, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 205 GABOR DR
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City | NEWARK
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State | DE
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Zip | 19711-6630
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Country | US
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Telephone | 302-273-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 500 WATERS EDGE DR
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City | NEWARK
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State | DE
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Zip | 19702-6330
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Country | US
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Telephone | 203-584-6440
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Fax |
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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 | J1-0015201
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License Number State | DE
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