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General NPI Number Information
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NPI Number | 1154572162
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Entity Type | Organization
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Legal Business Name | KESHAV INC
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 9053 WOODWARD AVE
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City | DETROIT
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State | MI
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Zip | 48202
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Country | US
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Telephone | 313-870-9207
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Fax | 313-870-9201
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Provider Business Mailing Address
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Address Line | 9053 WOODWARD
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City | DETROIT
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State | MI
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Zip | 48202
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Country | US
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Telephone | 313-870-9207
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Fax | 313-870-9201
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIKAS SHARMA
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Credential |
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Telephone | 313-870-9207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301008826
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License Number State | MI
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