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General NPI Number Information
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NPI Number | 1285396846
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Entity Type | Organization
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Legal Business Name | RUSHITA MEHTA MD PLLC
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 715 PARK AVE STE 2
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City | NEW YORK
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State | NY
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Zip | 10021-5047
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Country | US
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Telephone | 646-475-1749
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Fax | 646-809-8581
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Provider Business Mailing Address
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Address Line | 1040 1ST AVE # 138
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City | NEW YORK
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State | NY
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Zip | 10022-2991
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUSHITA MEHTA
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Credential | MD
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Telephone | 646-475-1749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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