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Individual
SHANA SHAH
Active
Individual
SHANA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH AND LANGUAGE
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SL011354
PA
235Z00000X
Speech-Language Pathologist
Primary
41YS500571200
NJ
Other
Enumeration date
07/02/2014
Last updated
02/09/2017
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