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General NPI Number Information
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NPI Number | 1497905400
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Entity Type | Individual
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Provider Name | ANKUR JAYENDRA DESAI DDS
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Gender | Male
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 15424 FM 1825 STE 120
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3148
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Country | US
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Telephone | 512-595-7542
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Fax |
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Provider Business Mailing Address
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Address Line | 2521 GREY MOUNTAIN PASS
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City | LEANDER
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State | TX
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Zip | 78641-3986
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Country | US
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Telephone | 914-299-5219
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02387800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 37202
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 37202
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License Number State | TX
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