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General NPI Number Information
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NPI Number | 1467470666
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Entity Type | Individual
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Provider Name | LINA MEHTA MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVENUE
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-844-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 24701 EUCLID AVE 3RD FLOOR
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City | EUCLID
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State | OH
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Zip | 44117-1714
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Country | US
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Telephone | 216-383-6950
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Fax | 216-383-6749
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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 | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 35074497
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License Number State | OH
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