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General NPI Number Information
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NPI Number | 1598851073
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Entity Type | Individual
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Provider Name | SHITAL DESAI PHARM.D., BCPS
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 6414 FANNIN ST STE G100
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City | HOUSTON
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State | TX
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Zip | 77030-1517
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Country | US
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Telephone | 713-704-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 6414 FANNIN ST STE G100
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City | HOUSTON
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State | TX
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Zip | 77030-1517
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Country | US
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Telephone | 713-704-2626
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 051.288971
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 45075
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License Number State | TX
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