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General NPI Number Information
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NPI Number | 1487130308
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Entity Type | Individual
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Provider Name | SHWETA BHAVSAR MBBS
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Gender | Female
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # L3-213
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City | CLEVELAND
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State | OH
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Zip | 44195-3410
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Country | US
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Telephone | 216-217-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE # L3-213
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City | CLEVELAND
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State | OH
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Zip | 44195-3410
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Country | US
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Telephone | 216-217-1366
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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 | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | 35.142200
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MT208613
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 35.142200
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License Number State | OH
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