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General NPI Number Information
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NPI Number | 1356701023
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Entity Type | Individual
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Provider Name | KATELYN DESAI PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 160 E 32ND ST
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City | NEW YORK
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State | NY
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Zip | 10016-6004
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Country | US
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Telephone | 212-263-5940
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Fax |
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Provider Business Mailing Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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Country | US
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Telephone | 610-637-7290
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 019532
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License Number State | NY
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