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General NPI Number Information
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NPI Number | 1659681575
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Entity Type | Organization
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Legal Business Name | VIKRAM P MEHTA MD PA
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 4106 W LAKE MARY BLVD SUITE 224
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City | LAKE MARY
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State | FL
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Zip | 32746-3315
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Country | US
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Telephone | 407-333-4548
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Fax | 407-333-1797
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Provider Business Mailing Address
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Address Line | 4106 W LAKE MARY BLVD SUITE 224
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City | LAKE MARY
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State | FL
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Zip | 32746-3315
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Country | US
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Telephone | 407-333-4548
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Fax | 407-333-1797
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RITA MEDINA
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Credential | MA
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Telephone | 407-333-4548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | ME0055612
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License Number State | FL
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