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General NPI Number Information
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NPI Number | 1154071744
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Entity Type | Individual
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Provider Name | DESHANIE GOVENDER MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2727 W DR MARTIN LUTHER KING JR BLVD STE 450
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City | TAMPA
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State | FL
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Zip | 33607-6002
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Country | US
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Telephone | 813-875-8453
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 W DR MARTIN LUTHER KING JR BLVD STE 450
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City | TAMPA
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State | FL
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Zip | 33607-6002
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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 |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME172939
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License Number State | FL
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