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General NPI Number Information
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NPI Number | 1053117747
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Entity Type | Individual
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Provider Name | RAHUL MEHTA DMD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 767 5TH AVE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4207
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Country | US
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Telephone | 717-709-7940
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Fax |
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Provider Business Mailing Address
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Address Line | 111 CHAMBERS HILL DR STE 200
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-7304
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Country | US
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Telephone | 717-709-7922
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Fax | 717-263-2055
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS045112
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License Number State | PA
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