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General NPI Number Information
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NPI Number | 1174151856
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Entity Type | Individual
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Provider Name | PURVI DESMARAIS MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 2 PILLSBURY ST STE 100
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City | CONCORD
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State | NH
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Zip | 03301-3549
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Country | US
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Telephone | 603-224-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 2 PILLSBURY ST STE 100
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City | CONCORD
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State | NH
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Zip | 03301-3549
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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 | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | 70905
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 34628
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License Number State | NH
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