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General NPI Number Information
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NPI Number | 1861059164
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Entity Type | Individual
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Provider Name | KAJAL PRADIP SHAH MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 100 MADISON AVE # GAGNONC
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-682-2136
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Fax | 973-290-8332
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Provider Business Mailing Address
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Address Line | 465 SOUTH ST STE 103
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6442
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Country | US
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Telephone | 973-682-2136
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Fax | 973-290-8332
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 25MA12602000
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License Number State | NJ
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