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General NPI Number Information
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NPI Number | 1306117676
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Entity Type | Organization
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Legal Business Name | ANKUR D MEHTA DO
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 18550 I H 45 S
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City | SHENANDOAH
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State | TX
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Zip | 77384-4119
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Country | US
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Telephone | 281-364-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5535 MEMORIAL DR F-816
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City | HOUSTON
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State | TX
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Zip | 77007-8021
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Country | US
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Telephone | 832-849-0909
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANKUR MEHTA
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Credential | DO
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Telephone | 832-849-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | P0097
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License Number State | TX
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