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NPI 1427025667

NPI 1427025667 : DR. NOTARO-DR. SHETTY AND ASSOCIATES, P.C. : ALIQUIPPA, PA

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General NPI Number Information
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    NPI Number           |    1427025667
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. NOTARO-DR. SHETTY AND ASSOCIATES, P.C. 
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Dates
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    Enumeration Date     |    03/07/2006
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    Last Update Date     |    09/11/2007
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Provider Practice Location Address
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    Address Line         |    2349 MILL ST 
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    City                 |    ALIQUIPPA
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    State                |    PA
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    Zip                  |    15001-2219
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    Country              |    US
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    Telephone            |    724-375-5401
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    Fax                  |    724-375-6332
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Provider Business Mailing Address
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    Address Line         |    2349 MILL ST 
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    City                 |    ALIQUIPPA
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    State                |    PA
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    Zip                  |    15001-2219
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    Country              |    US
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    Telephone            |    724-375-5401
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    Fax                  |    724-375-6332
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Authorized Official
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    Title or Position    |    OFFICER
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    Name                 |     JOHN  NOTARO 
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    Credential           |    MD
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    Telephone            |    724-375-5401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    
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    License Number State |    PA
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