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General NPI Number Information
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NPI Number | 1740460377
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Entity Type | Individual
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Provider Name | AMIT R MEHTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 550 NEW WAVERLY PLACE SUITE 120
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City | CARY
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State | NC
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Zip | 27518-6679
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Country | US
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Telephone | 919-351-2260
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Fax | 919-230-2311
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Provider Business Mailing Address
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Address Line | 550 NEW WAVERLY PL STE 120
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City | CARY
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State | NC
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Zip | 27518-7412
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Country | US
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Telephone | 919-351-2260
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Fax | 919-230-2311
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA08334900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2010-00625
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License Number State | NC
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