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General NPI Number Information
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NPI Number | 1891689220
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Entity Type | Individual
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Provider Name | NISHTHA AMBRISH SHARMA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1198 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10021-5102
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Country | US
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Telephone | 212-759-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 15 SAINT PAULS AVE APT 4
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City | JERSEY CITY
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State | NJ
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Zip | 07306-1642
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Country | US
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Telephone | 636-812-5469
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 052769
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License Number State | NY
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