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General NPI Number Information
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NPI Number | 1972182111
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Entity Type | Individual
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Provider Name | SHIVANI SHETH DPM
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 149 W RAND RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-3142
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Country | US
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Telephone | 847-487-2827
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Fax | 847-487-2860
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Provider Business Mailing Address
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Address Line | 9400 S CICERO AVE STE 100
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City | OAK LAWN
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State | IL
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Zip | 60453-2536
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Country | US
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Telephone |
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 316.003279
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License Number State | IL
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