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General NPI Number Information
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NPI Number | 1487895215
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Entity Type | Individual
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Provider Name | NITA M DESAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 333 W SOUTH BOULDER ROAD SUITE 1
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City | LOUISVILLE
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State | CO
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Zip | 80027
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Country | US
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Telephone | 303-444-1999
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Fax | 303-443-1588
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Provider Business Mailing Address
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Address Line | 333 W SOUTH BOULDER RD STE 1
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City | LOUISVILLE
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State | CO
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Zip | 80027-1674
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Country | US
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Telephone | 303-444-1999
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Fax | 303-443-1588
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CO32069
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License Number State | CO
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