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General NPI Number Information
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NPI Number | 1275935041
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Entity Type | Individual
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Provider Name | MALHAR C DESAI RPH
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Gender | Male
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 9802 WILDWOOD CIR APT 1D
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City | MUNSTER
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State | IN
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Zip | 46321-3982
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Country | US
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Telephone | 813-440-9195
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Fax |
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Provider Business Mailing Address
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Address Line | 9802 WILDWOOD CIR APT 1D
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City | MUNSTER
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State | IN
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Zip | 46321-3982
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Country | US
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Telephone | 813-440-9195
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26023433A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS37409
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.293891
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03340700
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License Number State | NJ
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