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General NPI Number Information
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NPI Number | 1639902687
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Entity Type | Individual
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Provider Name | BHAVIK P MEHTA AGNP-C
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Gender | Male
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Dates
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Enumeration Date | 08/24/2024
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3100 QUAKERBRIDGE RD STE 28
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City | HAMILTON TOWNSHIP
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State | NJ
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Zip | 08619
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Country | US
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Telephone | 609-245-7430
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Fax | 732-463-5505
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Provider Business Mailing Address
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Address Line | 26 SADDLE CT
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-3503
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Country | US
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Telephone | 908-494-7755
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ15115200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ15115200
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License Number State | NJ
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