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General NPI Number Information
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NPI Number | 1447439047
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Entity Type | Individual
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Provider Name | MONA PARIKH MD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 225 E JACKSON AVE
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City | JONESBORO
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State | AR
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Zip | 72401-3119
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Country | US
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Telephone | 469-955-8782
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 S CHURCH ST
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City | JONESBORO
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State | AR
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Zip | 72401-4126
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Country | US
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Telephone | 469-955-8782
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57013866
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT196046
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 44456
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | T2015-077
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License Number State | AR
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