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General NPI Number Information
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NPI Number | 1497280317
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Entity Type | Individual
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Provider Name | NIKITA DESAI
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Gender | Female
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 1111 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-1716
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Country | US
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Telephone | 978-303-7684
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Fax |
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Provider Business Mailing Address
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Address Line | 145 W 55TH ST APT 7E
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City | NEW YORK
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State | NY
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Zip | 10019-5353
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Country | US
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Telephone | 650-723-4000
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 320980
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 320980
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License Number State | NY
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