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General NPI Number Information
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NPI Number | 1588199301
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Entity Type | Individual
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Provider Name | RUHANI PRATAP DESAI
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Gender | Female
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Dates
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Enumeration Date | 04/30/2017
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 825 FAIRFAX AVE STE 563
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City | NORFOLK
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State | VA
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Zip | 23507-1914
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Country | US
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Telephone | 757-446-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 999 N STONE ST
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City | DELAND
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State | FL
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Zip | 32720-0800
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Country | US
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Telephone | 386-738-6804
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.029842
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | T8798
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License Number State | TX
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