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General NPI Number Information
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NPI Number | 1386459436
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Entity Type | Organization
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Legal Business Name | LOTUS MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 8307 UNIVERSITY EXEC PARK DR STE 242
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City | CHARLOTTE
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State | NC
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Zip | 28262-1374
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Country | US
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Telephone | 980-478-9661
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Fax | 980-500-1475
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Provider Business Mailing Address
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Address Line | 8307 UNIVERSITY EXEC PARK DR STE 242
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City | CHARLOTTE
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State | NC
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Zip | 28262-1374
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | PAYAL PATEL
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Credential |
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Telephone | 609-350-4095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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