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General NPI Number Information
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NPI Number | 1780203497
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Entity Type | Individual
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Provider Name | SHRUTI GIRISH NADKARNI D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 100 K JOHNSON BLVD STE 201
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2275
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Country | US
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Telephone | 609-689-5725
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Fax |
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Provider Business Mailing Address
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Address Line | 100 K JOHNSON BLVD STE 201
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2275
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Country | US
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Telephone | 609-689-5725
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS025418
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MB12364400
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License Number State | NJ
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