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General NPI Number Information
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NPI Number | 1073651923
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Entity Type | Organization
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Legal Business Name | MUKESH DESAI DENTIST PC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 CLINTON AVE
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City | OSSINING
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State | NY
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Zip | 10562-4308
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Country | US
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Telephone | 914-945-0305
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CLINTON AVE
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City | OSSINING
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State | NY
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Zip | 10562-4308
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Country | US
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Telephone | 914-945-0305
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Fax |
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Authorized Official
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Title or Position | PRESIDENTOWNER
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Name | DR. MUKESH B. DESAI
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Credential |
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Telephone | 914-945-0305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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