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General NPI Number Information
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NPI Number | 1699342519
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Entity Type | Individual
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Provider Name | SHEETAL KASI SETHUPATHI MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 6230 OLD DOBBIN LN STE 140
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City | COLUMBIA
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State | MD
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Zip | 21045-5809
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Country | US
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Telephone | 410-252-9090
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Fax | 410-494-7064
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Provider Business Mailing Address
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Address Line | 1447 YORK RD STE 301
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6022
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Country | US
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Telephone | 410-252-9090
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Fax | 410-494-7064
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D0103312
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2021020616
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License Number State | MO
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