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General NPI Number Information
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NPI Number | 1215308713
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Entity Type | Organization
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Legal Business Name | ATHEM HOSPITALISTS, PLLC
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 3009 PONDER PATH
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City | KELLER
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State | TX
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Zip | 76248-1201
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Country | US
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Telephone | 817-301-4232
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Fax |
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Provider Business Mailing Address
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Address Line | 3009 PONDER PATH
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City | KELLER
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State | TX
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Zip | 76248-1201
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Country | US
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Telephone | 817-301-4232
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | NIRAJ MAHENDRA MEHTA
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Credential | D.O.
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Telephone | 817-301-4232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L7482
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License Number State | TX
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