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General NPI Number Information
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NPI Number | 1750020202
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Entity Type | Individual
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Provider Name | SANKALP MEHROTRA SOCIAL WORKER
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Gender | Male
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 590 MEDICAL CENTER ROAD
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City | FORT CAVAZOS
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-288-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 1058 SPRING TERRACE LOOP
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City | TEMPLE
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State | TX
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Zip | 76502-7283
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Country | US
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Telephone | 909-289-5092
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | C017723
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License Number State | NC
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