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NPI 1023737939

NPI 1023737939 : NEHA MEHTA, D.O., INC. : PASADENA, CA

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General NPI Number Information
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    NPI Number           |    1023737939
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEHA MEHTA, D.O., INC. 
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Dates
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    Enumeration Date     |    08/24/2022
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    Last Update Date     |    11/17/2022
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Provider Practice Location Address
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    Address Line         |    155 N LAKE AVE STE 800 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91101-1857
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    Country              |    US
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    Telephone            |    323-486-2255
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    155 N LAKE AVE STE 800 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91101-1857
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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    |    PRESIDENT
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    Name                 |     NEHA  MEHTA 
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    Credential           |    
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    Telephone            |    323-486-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RS0012X
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    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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