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General NPI Number Information
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NPI Number | 1366580581
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Entity Type | Individual
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Provider Name | VINOD J. SHETTY MD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 3522 US HIGHWAY 9
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City | HOWELL
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State | NJ
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Zip | 07731-3345
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Country | US
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Telephone | 732-886-9122
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Fax | 732-886-5161
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Provider Business Mailing Address
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Address Line | 3522 HIGHWAY 9
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City | SOUTH HOWELL
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State | NJ
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Zip | 07731
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Country | US
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Telephone | 732-886-9122
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Fax | 732-886-5161
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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 | 25MA06184300
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License Number State | NJ
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