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General NPI Number Information
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NPI Number | 1487108692
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Entity Type | Organization
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Legal Business Name | RAJAN K SHETH DDS LLC
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 1012 STATE ROUTE 521 SUITE 202
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City | DELAWARE
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State | OH
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Zip | 43015-8003
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Country | US
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Telephone | 740-417-9565
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Fax | 740-417-9571
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Provider Business Mailing Address
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Address Line | 1012 STATE ROUTE 521 SUITE 202
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City | DELAWARE
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State | OH
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Zip | 43015-8003
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Country | US
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Telephone | 740-417-9565
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Fax | 740-417-9571
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAJAN K SHETH
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Credential | DDS
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Telephone | 740-417-9565
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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 | 30.023260
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License Number State | OH
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