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General NPI Number Information
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NPI Number | 1497076863
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Entity Type | Individual
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Provider Name | PRIANKA DESAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 4646 MUELLER BLVD APT 4034
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City | AUSTIN
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State | TX
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Zip | 78723-3423
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Country | US
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Telephone | 832-818-1118
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Fax |
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Provider Business Mailing Address
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Address Line | 4646 MUELLER BLVD APT 4034
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City | AUSTIN
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State | TX
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Zip | 78723-3423
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 274947
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | S3966
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License Number State | TX
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