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General NPI Number Information
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NPI Number | 1144050311
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Entity Type | Individual
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Provider Name | HEMAL ADITYA PANDYA MEHTA DDS
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Gender | Female
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Dates
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Enumeration Date | 08/03/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 2119 E HATCH RD STE BAND
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City | MODESTO
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State | CA
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Zip | 95351-4814
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Country | US
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Telephone | 209-758-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 3674 BRANDING IRON PL
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City | DUBLIN
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State | CA
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Zip | 94568-7297
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Country | US
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Telephone | 626-384-7731
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Fax | 626-384-7731
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 110429
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License Number State | CA
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