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General NPI Number Information
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NPI Number | 1740455419
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Entity Type | Individual
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Provider Name | NIPA S MEHTA PT
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Gender | Female
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 401 ANDOVER ST STE 101
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5076
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Country | US
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Telephone | 978-746-5295
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Fax | 978-824-9335
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Provider Business Mailing Address
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Address Line | 401 ANDOVER ST STE 101
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5076
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Country | US
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Telephone | 978-746-5295
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Fax | 978-824-9335
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 264854
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL17217
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License Number State | MA
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