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General NPI Number Information
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NPI Number | 1275985129
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Entity Type | Organization
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Legal Business Name | SAUMIL MEHTA MD PLLC
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Dates
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Enumeration Date | 07/04/2016
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 6404 INTERNATIONAL PKWY STE 1010
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City | PLANO
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State | TX
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Zip | 75093-8346
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Country | US
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Telephone | 972-267-1988
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Fax | 972-267-3434
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Provider Business Mailing Address
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Address Line | 6404 INTERNATIONAL PKWY STE 1010
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City | PLANO
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State | TX
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Zip | 75093-8346
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Country | US
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Telephone | 972-267-1988
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Fax | 972-267-3434
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAUMIL MEHTA
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Credential | M.D.
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Telephone | 972-267-1988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | J3013
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License Number State | TX
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