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General NPI Number Information
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NPI Number | 1891452231
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Entity Type | Organization
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Legal Business Name | SHIFA THERAPY LLC
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 725 RIVER ROAD
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City | EDGEWATER
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State | NJ
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Zip | 07020-1149
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Country | US
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Telephone | 551-325-4715
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Fax |
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Provider Business Mailing Address
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Address Line | 725 RIVER ROAD, SUITE 32 #156
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City | EDGEWATER
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State | NJ
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Zip | 07020
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Country | US
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Telephone | 551-325-4715
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND PSYCHOTHERAPIST
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Name | MR. SHALIN J BHATT
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Credential | LPC, LCADC, NCC
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Telephone | 551-325-4715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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