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General NPI Number Information
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NPI Number | 1891795563
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Entity Type | Individual
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Provider Name | ANGANA NAYAN SHAH M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 2999 PRINCETON PIKE
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-3261
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Country | US
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Telephone | 609-883-3000
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Fax | 609-423-0095
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Provider Business Mailing Address
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Address Line | 1 CARDIFF CT
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City | WEST WINDSOR
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State | NJ
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Zip | 08550-3268
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Country | US
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Telephone | 609-750-0875
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Fax | 609-750-0875
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD423809
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA07767800
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License Number State | NJ
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