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General NPI Number Information
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NPI Number | 1972792364
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Entity Type | Organization
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Legal Business Name | OM HEALTH LLC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 13301 ORANGE GROVE DR
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City | TAMPA
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State | FL
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Zip | 33618-2915
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Country | US
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Telephone | 813-963-3055
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Fax | 813-886-0559
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Provider Business Mailing Address
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Address Line | 13301 ORANGE GROVE DR
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City | TAMPA
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State | FL
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Zip | 33618-2915
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Country | US
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Telephone | 813-963-3055
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ARCHANA MEHTA
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Credential | DC
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Telephone | 813-885-5786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | CH9020
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License Number State | FL
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