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General NPI Number Information
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NPI Number | 1003845488
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Entity Type | Individual
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Provider Name | JAYESH SHETH MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 6823 HIGHWAY 311
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City | SELLERSBURG
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State | IN
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Zip | 47172-1801
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Country | US
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Telephone | 812-246-9809
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Fax |
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Provider Business Mailing Address
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Address Line | 6823 HIGHWAY 311
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City | SELLERSBURG
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State | IN
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Zip | 47172-1801
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36086
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 058507
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 01053906A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01053906A
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License Number State | IN
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