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NPI 1780752998

NPI 1780752998 : NILA A SHETH MD : HAMILTON, NJ

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General NPI Number Information
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    NPI Number           |    1780752998
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    Entity Type          |    Individual 
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    Provider Name        |    NILA A SHETH MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/04/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1544 KUSER ROAD #C1
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    City                 |    HAMILTON
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    State                |    NJ
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    Zip                  |    08619
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    Country              |    US
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    Telephone            |    609-585-2200
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    Fax                  |    609-585-2206
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Provider Business Mailing Address
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    Address Line         |    1263 KNOX DR 
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    City                 |    YARDLEY
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    State                |    PA
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    Zip                  |    19067
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    Country              |    US
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    Telephone            |    215-493-4538
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    Fax                  |    609-585-2206
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MA35225
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    License Number State |    NJ
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