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General NPI Number Information
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NPI Number | 1851174833
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Entity Type | Organization
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Legal Business Name | MEHTA PSYCHOLOGY
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 4315 50TH ST NW STE 100
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City | WASHINGTON
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State | DC
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Zip | 20016-4369
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Country | US
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Telephone | 202-607-1176
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 WISCONSIN AVE NW APT 205
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City | WASHINGTON
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State | DC
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Zip | 20007-2285
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Country | US
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Telephone | 202-607-1176
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINITA MEHTA
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Credential | PH.D.
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Telephone | 202-607-1176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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