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General NPI Number Information
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NPI Number | 1962941369
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Entity Type | Individual
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Provider Name | RUCHIT N SHAH D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 100 K JOHNSON BLVD FL 2
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2275
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Country | US
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Telephone | 609-528-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 100 K JOHNSON BLVD FL 2
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2275
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Country | US
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Telephone | 609-528-8884
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | OS022785
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MB11790200
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License Number State | NJ
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