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General NPI Number Information
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NPI Number | 1922493196
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Entity Type | Individual
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Provider Name | RITESH JAYESH MEHTA M.D.,
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Gender | Male
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Dates
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Enumeration Date | 04/03/2015
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 11 CHARLEY HARPER DR SE STE 100
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City | CARTERSVILLE
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State | GA
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Zip | 30120-1123
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Country | US
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Telephone | 678-719-0087
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Fax |
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Provider Business Mailing Address
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Address Line | 11 CHARLEY HARPER DR SE STE 100
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City | CARTERSVILLE
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State | GA
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Zip | 30120-1123
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Country | US
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Telephone | 678-719-0087
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 85947
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | T6454
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License Number State | TX
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