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1376727412

NPI Code Detail

MEDICARE: BETH ANN SHUTTE MD

MEDICARE: BETH ANN SHUTTE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35.092542	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376727412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH ANN SHUTTE MD

Provider Business Mailing Address
First Line	:	68 DARST RD
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45440-3442
Country	:	US
Telephone Number	:	937-531-0132
Fax Number	:	937-531-0134

Provider Business Practice Location Address
First Line	:	68 DARST RD
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45440-3442
Country	:	US
Telephone Number	:	937-531-0132
Fax Number	:	937-531-0134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	01/26/2016

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Directions to “ BETH ANN SHUTTE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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