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General NPI Number Information
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NPI Number | 1972309094
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Entity Type | Organization
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Legal Business Name | POOJA SHAH MD
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 10000 LINCOLN DR E STE 201
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City | MARLTON
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State | NJ
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Zip | 08053-3105
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Country | US
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Telephone | 215-821-8290
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Fax | 743-500-7498
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Provider Business Mailing Address
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Address Line | 926 HADDONFIELD RD STE E158
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2775
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Country | US
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Telephone | 215-821-8290
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Fax | 743-500-7498
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Authorized Official
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Title or Position | MANAGER
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Name | POOJA SHAH
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Credential | MD
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Telephone | 856-725-3381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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