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NPI 1447546296

NPI 1447546296 : TRISHA SHETH ACNP : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1447546296
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    Entity Type          |    Individual 
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    Provider Name        |    TRISHA SHETH ACNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2011
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    1605 CHANTILLY DR NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30324-3267
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    Country              |    US
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    Telephone            |    404-257-0006
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    Fax                  |    404-851-1316
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Provider Business Mailing Address
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    Address Line         |    2690 DERBY WALK NE 
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    City                 |    BROOKHAVEN
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    State                |    GA
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    Zip                  |    30319-3657
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    Country              |    US
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    Telephone            |    312-890-8743
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    APRN-NP284424
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    209007620
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    License Number State |    IL
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