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General NPI Number Information
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NPI Number | 1902127582
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Entity Type | Individual
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Provider Name | SRAVANI VENKATA ANJANA MEHTA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 1000 PHYSICIANS WAY STE 144
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City | FRANKLIN
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State | TN
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Zip | 37067-1471
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Country | US
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Telephone | 615-450-6758
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Fax | 833-471-4798
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Provider Business Mailing Address
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Address Line | 2900 FELICIA ST STE 103
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City | NASHVILLE
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State | TN
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Zip | 37209-4043
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Country | US
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Telephone | 615-450-6758
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Fax | 908-282-3384
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D78189
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2081P0301X
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Taxonomy Name | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 56005
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 56005
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License Number State | TN
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