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General NPI Number Information
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NPI Number | 1770434201
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Entity Type | Individual
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Provider Name | SHAYE WHALEY
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 71 UNION AVE STE 110
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City | RUTHERFORD
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State | NJ
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Zip | 07070-1272
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Country | US
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Telephone | 201-642-2776
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Fax |
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Provider Business Mailing Address
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Address Line | 109 4TH ST
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City | WOOD RIDGE
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State | NJ
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Zip | 07075-2236
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Country | US
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Telephone |
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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 | 40QA02397600
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License Number State | NJ
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