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General NPI Number Information
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NPI Number | 1295717643
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Entity Type | Individual
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Provider Name | BHUPAT MEHTA MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 67 REGENT DR
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City | OAK BROOK
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State | IL
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Zip | 60523-1745
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Country | US
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Telephone | 630-325-6151
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Fax | 708-652-0058
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Provider Business Mailing Address
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Address Line | 67 REGENT DR
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City | OAK BROOK
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State | IL
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Zip | 60523-1745
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Country | US
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Telephone | 630-325-6151
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Fax | 708-652-0058
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036055686
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License Number State | IL
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