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General NPI Number Information
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NPI Number | 1174970230
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Entity Type | Individual
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Provider Name | MILAN SHETH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 4350 N FRANKLIN RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-4002
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Country | US
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Telephone | 317-546-5305
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Fax |
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Provider Business Mailing Address
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Address Line | 3206 EL LAGO NORTH DR APT B
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-4022
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Country | US
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Telephone | 219-487-1164
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12012485A
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License Number State | IN
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