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General NPI Number Information
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NPI Number | 1124970702
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Entity Type | Organization
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Legal Business Name | LIVINGSTON PEDIATRIC CENTER P.C.
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 136 KISSANE AVE
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City | BRIGHTON
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State | MI
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Zip | 48116-2467
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Country | US
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Telephone | 810-229-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 136 KISSANE AVE
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City | BRIGHTON
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State | MI
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Zip | 48116-2467
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | BIPIN DESAI
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Credential | MD
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Telephone | 517-304-4871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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