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General NPI Number Information
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NPI Number | 1497011407
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Entity Type | Individual
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Provider Name | NEAL ARUN MEHTA MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 1653 W CONGRESS PARKWAY 739 JELKE DEPT ANESTHESIA
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-942-3138
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | GLENVIEW
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State | IL
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Zip | 60025
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Country | US
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Telephone | 858-232-7707
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1497011407
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License Number State | IL
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