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General NPI Number Information
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NPI Number | 1124324017
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Entity Type | Organization
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Legal Business Name | NITIN V SHETH MD LLC
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 6 N DORCAS ST
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City | LEWISTOWN
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State | PA
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Zip | 17044-1737
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Country | US
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Telephone | 717-953-9571
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Fax | 717-953-9576
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Provider Business Mailing Address
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Address Line | 6 N DORCAS ST
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City | LEWISTOWN
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State | PA
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Zip | 17044-1737
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Country | US
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Telephone | 732-725-8675
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGER
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Name | DR. NITIN VASANTRAI SHETH
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Credential | MD
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Telephone | 717-953-9571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | MD037225E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MD037225E
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License Number State | PA
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