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General NPI Number Information
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NPI Number | 1740253574
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Entity Type | Individual
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Provider Name | NIMESH K VESUWALA MD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 1701 INNOVATION DR
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City | YORK
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State | PA
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Zip | 17408-8815
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Country | US
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Telephone | 717-843-8623
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Fax | 717-862-5576
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Provider Business Mailing Address
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Address Line | 82 TUNNEL RD
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City | POTTSVILLE
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State | PA
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Zip | 17901-3869
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Country | US
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Telephone | 570-622-5455
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Fax | 570-622-5493
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD425267
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License Number State | PA
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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 | MD425267
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License Number State | PA
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