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General NPI Number Information
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NPI Number | 1255572863
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Entity Type | Individual
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Provider Name | JAY G MEHTA DO
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Gender | Male
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 11340 W BELL RD STE 127
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City | SURPRISE
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State | AZ
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Zip | 85378-9335
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Country | US
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Telephone | 623-225-7546
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Fax | 623-225-7548
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Provider Business Mailing Address
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Address Line | 11340 W BELL RD STE 127
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City | SURPRISE
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State | AZ
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Zip | 85378-9335
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Country | US
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Telephone | 623-225-7546
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Fax | 623-225-7548
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 006512
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 58-003057
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 006512
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License Number State | AZ
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