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General NPI Number Information
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NPI Number | 1881780120
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Entity Type | Individual
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Provider Name | PUJA K MEHTA MD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 1605 CHANTILLY DR NE FL 3
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City | ATLANTA
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State | GA
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Zip | 30324-3267
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Country | US
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Telephone | 404-778-2746
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Fax |
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Provider Business Mailing Address
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Address Line | 1462 CLIFTON RD NE, SUITE 505
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City | ATLANTA
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State | GA
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Zip | 30322
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Country | US
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Telephone | 404-712-0281
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Fax | 404-727-6495
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 054618
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 054618
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License Number State | GA
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