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General NPI Number Information
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NPI Number | 1962726489
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Entity Type | Individual
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Provider Name | SHILPI KHETARPAL MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # DESKA61
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-8904
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Fax | 216-636-0436
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE # A61
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 330-806-1312
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Fax | 216-636-0435
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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 | 35120393
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 261572
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License Number State | MA
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