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General NPI Number Information
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NPI Number | 1336434893
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Entity Type | Individual
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Provider Name | HINA DESAI LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 47601 GRAND RIVER AVE
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City | NOVI
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State | MI
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Zip | 48374-1233
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Country | US
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Telephone | 248-465-4916
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Fax | 248-465-4922
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Provider Business Mailing Address
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Address Line | 1259 POPPY HILL DR
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City | OXFORD
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State | MI
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Zip | 48371-6092
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Country | US
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Telephone | 248-969-2076
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 6801086503
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License Number State | MI
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