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General NPI Number Information
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NPI Number | 1629231048
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Entity Type | Individual
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Provider Name | MEHUL PARIKH MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 3869 HIGHWAY 81
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City | LOGANVILLE
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State | GA
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Zip | 30052-3918
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Country | US
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Telephone | 678-635-8650
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Fax |
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Provider Business Mailing Address
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Address Line | 721 WELLNESS WAY SUITE 100
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3304
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Country | US
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Telephone | 770-995-7989
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Fax | 770-339-8646
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 073616
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License Number State | GA
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