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General NPI Number Information
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NPI Number | 1356198220
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Entity Type | Organization
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Legal Business Name | CHIRAG MEHTA MD PLLC
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1111 SARA SWAMY DR
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City | SHERMAN
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State | TX
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Zip | 75090-1779
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Country | US
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Telephone | 903-893-6311
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Fax | 903-870-0456
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Provider Business Mailing Address
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Address Line | 1111 SARA SWAMY DR
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City | SHERMAN
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State | TX
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Zip | 75090-1779
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Country | US
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Telephone | 903-893-6311
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Fax | 903-870-0456
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | AMY PRUITT
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Credential |
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Telephone | 903-893-6311
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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 |
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License Number State |
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