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General NPI Number Information
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NPI Number | 1457404584
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Entity Type | Organization
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Legal Business Name | BIREN DESAI MD PSC
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 913 N DIXIE AVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2503
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Country | US
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Telephone | 270-737-1212
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Fax | 270-706-1153
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Provider Business Mailing Address
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Address Line | PO BOX 2185
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City | ELIZABETHTOWN
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State | KY
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Zip | 42702-2185
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Country | US
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Telephone | 270-737-1212
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Fax | 270-706-1153
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Authorized Official
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Title or Position | PHYSICIAN AND OWNER
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Name | BIREN DESAI
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Credential | MD
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Telephone | 270-737-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | KY
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