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General NPI Number Information
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NPI Number | 1679623565
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Entity Type | Organization
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Legal Business Name | ASHOK K. MEHTA, MD, PC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 05/16/2017
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Provider Practice Location Address
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Address Line | 151 ADAMS LN SUITE 13
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3598
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Country | US
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Telephone | 615-288-4087
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Fax | 615-553-4250
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Provider Business Mailing Address
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Address Line | 151 ADAMS LN SUITE 13
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3598
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Country | US
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Telephone | 615-288-4087
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Fax | 615-553-4250
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHOK K MEHTA
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Credential | MD
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Telephone | 615-288-4087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 37260
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License Number State | TN
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