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General NPI Number Information
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NPI Number | 1558534784
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Entity Type | Organization
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Legal Business Name | NAVIN C. MEHTA, MD., PC.
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 303 SECOND AVENUE SUITE # 10
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City | NEW YORK
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State | NY
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Zip | 10003-2746
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Country | US
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Telephone | 212-505-9640
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Fax | 212-473-1355
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Provider Business Mailing Address
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Address Line | 303 SECOND AVENUE SUITE # 10
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City | NEW YORK
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State | NY
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Zip | 10003-2746
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Country | US
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Telephone | 212-505-9640
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Fax | 212-473-1355
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Authorized Official
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Title or Position | OWNER
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Name | MR. NAVIN C MEHTA
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Credential | MD
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Telephone | 212-505-9640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 156499
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License Number State | NY
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