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General NPI Number Information
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NPI Number | 1871854976
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Entity Type | Individual
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Provider Name | JAYASHRI J SHAH PHARM B
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Gender | Female
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 775 ROUTE 1
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City | EDISON
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State | NJ
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Zip | 08817-4679
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Country | US
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Telephone | 732-819-8573
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Fax |
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Provider Business Mailing Address
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Address Line | 45 HAWTHORN DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1934
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Country | US
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Telephone | 609-275-1027
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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 | 28RI02304700
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License Number State | NJ
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