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General NPI Number Information
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NPI Number | 1124348784
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Entity Type | Individual
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Provider Name | KUSHALJIT S DHESI MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2010
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 400 HIGHLAND AVE
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City | LEWISTOWN
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State | PA
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Zip | 17044-1167
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Country | US
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Telephone | 717-242-7121
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Fax | 717-242-0502
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-271-6144
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Fax | 570-271-6578
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD60562878
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD60562878
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD472837
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License Number State | PA
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