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General NPI Number Information
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NPI Number | 1215997473
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Entity Type | Organization
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Legal Business Name | CAROHEALTH ASSOCIATES, PLLC
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 2225 EAST W.T. HARRIS BLVD STE B
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City | CHARLOTTE
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State | NC
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Zip | 28213-5138
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Country | US
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Telephone | 704-509-0933
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Fax | 704-509-0934
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Provider Business Mailing Address
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Address Line | 2225 EAST W.T. HARRIS BLVD STE B
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City | CHARLOTTE
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State | NC
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Zip | 28213-5138
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Country | US
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Telephone | 704-509-0933
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Fax | 704-509-0934
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Authorized Official
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Title or Position | OWNER/CHIEF MEDICAL OFFICER
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Name | DR. ANITA MEHTA
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Credential | MD
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Telephone | 704-509-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 87997
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License Number State | NC
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