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General NPI Number Information
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NPI Number | 1104890185
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Entity Type | Individual
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Provider Name | TULSI KIKU MEHTA MD
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW SUITE 2A38
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City | WASHINGTON
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State | DC
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Zip | 20010-2976
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Country | US
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Telephone | 202-877-6034
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Fax |
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Provider Business Mailing Address
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Address Line | 110 IRVING ST NW SUITE 2A-38
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City | WASHINGTON
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State | DC
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Zip | 20010-2976
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Country | US
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Telephone | 202-877-6034
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD035417
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License Number State | DC
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