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General NPI Number Information
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NPI Number | 1790816791
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Entity Type | Individual
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Provider Name | MONA NIRAJ SHETH MD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 16651 SOUTHWEST FWY SUITE 450
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City | SUGAR LAND
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State | TX
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Zip | 77479-2345
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Country | US
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Telephone | 281-275-0800
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Fax | 281-275-0801
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Provider Business Mailing Address
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Address Line | 16651 SOUTHWEST FWY SUITE 450
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City | SUGAR LAND
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State | TX
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Zip | 77479-2345
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Country | US
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Telephone | 281-275-0800
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Fax | 281-275-0801
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L9480
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License Number State | TX
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