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General NPI Number Information
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NPI Number | 1073045472
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Entity Type | Individual
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Provider Name | ROSHNI D SHETH MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1408 S BROAD ST FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19146-4808
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Country | US
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Telephone | 215-467-3515
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 S BROAD ST FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19146-4808
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Country | US
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Telephone | 215-467-3515
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA12681700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD482806
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License Number State | PA
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