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General NPI Number Information
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NPI Number | 1821476003
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Entity Type | Individual
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Provider Name | SIDDHART KUMAR MEHTA MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 05/04/2025
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 101 OLD SHORT HILLS RD
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1000
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Country | US
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Telephone | 973-322-6500
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA09558700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 25MA09558700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 25MA09558700
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License Number State | NJ
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