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General NPI Number Information
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NPI Number | 1619250719
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Entity Type | Individual
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Provider Name | SAGAR SHAH PHARM D
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Gender | Male
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Dates
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Enumeration Date | 09/25/2011
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Last Update Date | 09/25/2011
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Provider Practice Location Address
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Address Line | 440 S WASHINGTON AVE # 456
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City | PISCATAWAY
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State | NJ
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Zip | 08854-1550
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Country | US
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Telephone | 732-424-3666
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Fax |
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Provider Business Mailing Address
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Address Line | 9 ADAM CT
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City | MONROE
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State | NJ
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Zip | 08831-0167
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Country | US
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Telephone | 732-521-5310
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03089800
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License Number State | NJ
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