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General NPI Number Information
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NPI Number | 1659683357
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Entity Type | Individual
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Provider Name | NEETIKA SETHI PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 14300 GALLANT FOX LN SUITE#124
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City | BOWIE
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State | MD
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Zip | 20715-4003
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Country | US
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Telephone | 301-262-7555
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Fax | 301-805-5914
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Provider Business Mailing Address
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Address Line | 14300 GALLANT FOX LN SUITE#124
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City | BOWIE
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State | MD
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Zip | 20715-4003
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Country | US
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Telephone | 301-262-7555
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Fax | 301-805-5914
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0002489
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License Number State | MD
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