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Individual
MENTOR THAQI
Active
Individual
MENTOR THAQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM/PHD
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103301508
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/01/2023
Last updated
08/18/2026
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