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General NPI Number Information
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NPI Number | 1871184960
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Entity Type | Individual
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Provider Name | ANKUR SHAH
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Gender | Male
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 2853 WOODBRIDGE AVE SUITE 8
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City | EDISON
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State | NJ
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Zip | 08837-0883
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Country | US
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Telephone | 732-605-4307
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Fax | 732-605-4308
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Provider Business Mailing Address
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Address Line | 6 PRINCETON HIGHLANDS BLVD
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City | PRINCETON
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State | NJ
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Zip | 08540-8588
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Country | US
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Telephone | 908-494-3916
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP451363
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03358200
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License Number State | NJ
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