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General NPI Number Information
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NPI Number | 1366777682
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Entity Type | Individual
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Provider Name | SNEHA SHETH MD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2009
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 7556 TEAGUE RD SUITE 210
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City | HANOVER
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State | MD
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Zip | 21076-1213
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Country | US
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Telephone | 410-551-0499
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Fax | 410-799-9070
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Provider Business Mailing Address
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Address Line | 1111 BENFIELD BLVD SUITE 200
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City | MILLERSVILLE
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State | MD
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Zip | 21108-3002
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Country | US
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Telephone | 410-729-5100
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Fax | 443-679-1382
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2620311
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0079707
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License Number State | MD
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