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General NPI Number Information
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NPI Number | 1346637899
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Entity Type | Individual
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Provider Name | KARAN MEHTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 635 MADISON AVE FL 17
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City | NEW YORK
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State | NY
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Zip | 10022-1009
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Country | US
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Telephone | 929-294-7706
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Fax |
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Provider Business Mailing Address
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Address Line | 21 KALDA AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1801
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Country | US
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Telephone | 516-220-0219
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Fax |
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 308077
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License Number State | NY
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