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General NPI Number Information
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NPI Number | 1598062622
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Entity Type | Individual
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Provider Name | CARMANT HEMANTKUMAR DESAI LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 1260 MORENA BLVD STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92110-3889
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Country | US
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Telephone | 619-398-0355
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Fax |
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Provider Business Mailing Address
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Address Line | 10200 NE 132ND ST
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City | KIRKLAND
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State | WA
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Zip | 98034-2831
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Country | US
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Telephone | 425-284-8285
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF80066
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60969209
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License Number State | WA
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