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General NPI Number Information
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NPI Number | 1760675540
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Entity Type | Organization
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Legal Business Name | P J MEHTA MD PA
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 829 EASTERN SHORE DR
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City | SALISBURY
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State | MD
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Zip | 21804-5944
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Country | US
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Telephone | 410-546-3223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2518
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City | SALISBURY
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State | MD
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Zip | 21802-2518
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Country | US
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Telephone | 443-366-5023
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PIYUSH J MEHTA
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Credential | MD
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Telephone | 410-546-3223
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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 |
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License Number State |
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