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General NPI Number Information
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NPI Number | 1730328394
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Entity Type | Individual
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Provider Name | ASHISH C SHAH MD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 3086 STATE ROUTE 27 SUITE 10
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1658
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Country | US
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Telephone | 844-543-5864
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Fax | 844-314-1144
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Provider Business Mailing Address
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Address Line | 3086 STATE ROUTE 27 SUITE 10
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1658
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Country | US
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Telephone | 844-543-5864
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Fax | 844-314-1144
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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 | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 2008-01931
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 25MA09774800
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License Number State | NJ
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