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General NPI Number Information
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NPI Number | 1740925171
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Entity Type | Organization
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Legal Business Name | SOMERSET CARDIOCARE
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 1130 US HWY 202 SOUTH BUILDING E SUITE 3
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City | RARITAN
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State | NJ
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Zip | 08869-1490
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Country | US
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Telephone | 908-662-6444
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Fax | 908-662-6445
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Provider Business Mailing Address
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Address Line | 215 BERKLEY AVE
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4650
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Country | US
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Telephone | 908-227-6470
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Fax | 908-662-6445
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHANDRESHWAR N SHAHI
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Credential | MD, FACC
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Telephone | 908-227-6470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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