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General NPI Number Information
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NPI Number | 1104112879
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Entity Type | Individual
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Provider Name | SHILPA JOSHI DESAI MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 300 MOUNT AUBURN ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5600
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Country | US
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Telephone | 617-499-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 800 WASHINGTON ST # 450
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City | BOSTON
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State | MA
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Zip | 02111-1552
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Country | US
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Telephone | 617-636-4600
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 248156
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 262235
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License Number State | MA
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