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General NPI Number Information
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NPI Number | 1326317322
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Entity Type | Organization
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Legal Business Name | ANKUR D MEHTA DO PA
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 8830 LONG POINT RD SUITE 502
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City | HOUSTON
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State | TX
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Zip | 77055-3040
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Country | US
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Telephone | 832-849-0909
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Fax | 832-849-0910
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Provider Business Mailing Address
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Address Line | 5535 MEMORIAL DR SUITE 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 | MANAGER & OWNER
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Name | ANKUR D 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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | P00097
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License Number State | TX
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