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General NPI Number Information
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NPI Number | 1164680500
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Entity Type | Individual
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Provider Name | MEETKUMAR TUSHARBHAI SHETH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2008
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1255 ROUTE 70 STE 12N
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5900
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Country | US
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Telephone | 732-942-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 19 COLONIAL WOODS DR
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1614
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301091889
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA09029300
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License Number State | NJ
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