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General NPI Number Information
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NPI Number | 1619998861
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Entity Type | Individual
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Provider Name | ROSHAN V MAHTANI MD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 6830 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2503
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Country | US
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Telephone | 813-783-3118
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Fax | 813-355-5036
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Provider Business Mailing Address
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Address Line | 30780 STATE ROAD 54
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6009
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Country | US
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Telephone | 813-406-4005
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Fax | 813-796-7201
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME92365
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License Number State | FL
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