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General NPI Number Information
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NPI Number | 1477600971
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Entity Type | Individual
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Provider Name | AMITA S. DESAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 383 WEST STATE STREET CATHOLIC CHARITIES
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City | TRENTON
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State | NJ
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Zip | 08618
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Country | US
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Telephone | 609-394-5181
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Fax | 609-386-4703
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Provider Business Mailing Address
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Address Line | 11 NOLEN CIR
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City | VOORHEES
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State | NJ
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Zip | 08043-4110
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Country | US
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Telephone | 856-264-9025
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA054053
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License Number State | NJ
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