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General NPI Number Information
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NPI Number | 1104356955
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Entity Type | Individual
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Provider Name | ROHAN UMESH MEHTA MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 385 MORRIS AVE FL 2
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1151
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Country | US
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Telephone | 973-379-2111
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Fax | 973-379-2807
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Provider Business Mailing Address
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Address Line | PO BOX 416457
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City | BOSTON
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State | MA
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Zip | 02241-6457
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA11084600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.071327
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License Number State | IL
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