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General NPI Number Information
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NPI Number | 1285063602
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Entity Type | Individual
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Provider Name | PRITIBEN B DESAI APN
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Gender | Female
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 100 LEXINGTON RD STE A
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City | WOOLWICH TOWNSHIP
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State | NJ
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Zip | 08085-1276
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Country | US
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Telephone | 856-223-0965
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Fax | 856-223-1044
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Provider Business Mailing Address
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Address Line | 134 BRIDGETON PIKE STE D
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2616
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Country | US
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Telephone | 856-507-2783
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Fax | 856-221-4138
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0000710
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License Number State | DE
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