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General NPI Number Information
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NPI Number | 1114363587
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Entity Type | Individual
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Provider Name | HETAL H. MEHTA MD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 599 W STATE ST STE 200
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2567
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Country | US
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Telephone | 678-936-8002
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Fax | 267-893-6820
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Provider Business Mailing Address
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Address Line | PO BOX 829641
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City | PHILADELPHIA
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State | PA
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Zip | 19182-9641
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Country | US
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Telephone | 673-705-2962
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 0101272384
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD456347
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License Number State | PA
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