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General NPI Number Information
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NPI Number | 1003529215
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Entity Type | Individual
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Provider Name | SUHANI MEHTA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4000
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Country | US
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Telephone | 480-459-0716
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 CRAWFORD ST APT 1213
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City | HOUSTON
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State | TX
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Zip | 77004-6853
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 71325
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License Number State | TX
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