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General NPI Number Information
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NPI Number | 1053376954
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Entity Type | Individual
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Provider Name | NAVTIKA R DESAI DO
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 105 RAIDER BLVD SUITE 200
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1528
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Country | US
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Telephone | 908-829-4244
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Fax | 908-382-3280
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Provider Business Mailing Address
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Address Line | 140 TOP OF THE WORLD WAY
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City | GREEN BROOK
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State | NJ
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Zip | 08812-1839
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Country | US
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Telephone | 908-829-4244
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Fax | 908-382-3280
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25 MB08065200
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License Number State | NJ
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