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General NPI Number Information
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NPI Number | 1265002893
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Entity Type | Individual
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Provider Name | PRARTHIT HEMENDRAKUMAR MEHTA DDS
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Gender | Male
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Dates
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Enumeration Date | 06/27/2021
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 260 W FOOTHILL BLVD
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City | RIALTO
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State | CA
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Zip | 92376-5048
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Country | US
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Telephone | 909-546-7064
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Fax |
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Provider Business Mailing Address
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Address Line | 24929 PROSPECT AVE
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City | LOMA LINDA
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State | CA
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Zip | 92354-2811
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Country | US
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Telephone | 310-228-8053
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 106308
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DB-2025-0113
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License Number State | NM
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