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General NPI Number Information
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NPI Number | 1023159845
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Entity Type | Individual
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Provider Name | KIRIT N MEHTA MS, LPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 14740 BARRYKNOLL LN STE 130
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City | HOUSTON
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State | TX
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Zip | 77079-2883
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Country | US
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Telephone | 713-984-5105
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Fax |
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Provider Business Mailing Address
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Address Line | 19927 FORT DAVIS CT
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City | KATY
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State | TX
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Zip | 77449-3305
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Country | US
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Telephone | 281-579-8942
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Fax | 281-579-8942
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11636
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4295
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License Number State | TX
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