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General NPI Number Information
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NPI Number | 1043366446
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Entity Type | Organization
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Legal Business Name | AMIT H SHETH MD PC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 22878 THREE NOTCH RD
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City | CALIFORNIA
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State | MD
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Zip | 20619
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Country | US
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Telephone | 301-883-6373
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Fax | 301-863-6313
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Provider Business Mailing Address
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Address Line | PO BOX 1909
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City | CALIFORNIA
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State | MD
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Zip | 20619
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Country | US
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Telephone | 301-883-6373
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Fax | 301-863-6313
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMIT H SHETH
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Credential | MD
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Telephone | 301-863-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0038624
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License Number State | MD
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