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General NPI Number Information
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NPI Number | 1659799856
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Entity Type | Individual
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Provider Name | SANDIP SHETH
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Gender | Male
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 765 S LINDSAY RD
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City | GILBERT
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State | AZ
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Zip | 85296-3063
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Country | US
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Telephone | 480-635-0118
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Fax |
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Provider Business Mailing Address
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Address Line | 765 S LINDSAY RD
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City | GILBERT
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State | AZ
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Zip | 85296-3063
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 019120
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10684
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26021146A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 232798
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License Number State | MA
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