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General NPI Number Information
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NPI Number | 1942323415
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Entity Type | Individual
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Provider Name | LOVELEEN KAUR MEHTA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 09/07/2009
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Provider Practice Location Address
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Address Line | 13975 CONNECTICUT AVE SUITE 200
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City | SILVER SPRING
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State | MD
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Zip | 20906-2921
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Country | US
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Telephone | 301-460-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 8415 GLAD RIVERS ROW
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City | COLUMBIA
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State | MD
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Zip | 21045-7424
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Country | US
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Telephone | 410-872-0537
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 13247
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License Number State | MD
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