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General NPI Number Information
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NPI Number | 1043264443
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Entity Type | Individual
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Provider Name | NITA S DESAI MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 3000 GETWELL RD
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City | MEMPHIS
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State | TN
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Zip | 38118-2205
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Country | US
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Telephone | 901-268-8620
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Fax | 901-877-7991
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Provider Business Mailing Address
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Address Line | PO BOX 17171
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City | MEMPHIS
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State | TN
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Zip | 38187-0171
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Country | US
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Telephone | 901-877-7897
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Fax | 901-877-7991
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | MD0000017768
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 17768
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License Number State | TN
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