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General NPI Number Information
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NPI Number | 1043276231
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Entity Type | Individual
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Provider Name | ABHIJIT VINOD DESHMUKH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 1361 CITRUS TOWER BLVD STE 101
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City | CLERMONT
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State | FL
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Zip | 34711-1943
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Country | US
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Telephone | 352-536-8791
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Fax | 352-536-8793
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Provider Business Mailing Address
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Address Line | 1361 CITRUS TOWER BLVD STE 101
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City | CLERMONT
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State | FL
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Zip | 34711-1943
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Country | US
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Telephone | 352-536-8791
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Fax | 352-536-8793
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 056544
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME64683
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License Number State | FL
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