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General NPI Number Information
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NPI Number | 1487330627
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Entity Type | Organization
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Legal Business Name | MAHANTAM INC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 1848 CHARTER LN STE 103
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City | LANCASTER
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State | PA
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Zip | 17601-5896
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Country | US
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Telephone | 717-271-6123
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Fax |
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Provider Business Mailing Address
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Address Line | 201 LANDOVER CT
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City | ENOLA
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State | PA
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Zip | 17025-2757
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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 | CEO
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Name | ZALAK PATEL
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Credential |
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Telephone | 717-271-6123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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