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General NPI Number Information
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NPI Number | 1295329720
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Entity Type | Organization
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Legal Business Name | MEGHA MOHEY MD PC
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 14752 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2698
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Country | US
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Telephone | 734-785-6003
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Fax | 734-985-2333
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Provider Business Mailing Address
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Address Line | 14752 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2698
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Country | US
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Telephone | 734-785-6003
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Fax | 734-985-2333
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEGHA MOHEY
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Credential | MD
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Telephone | 734-785-6003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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