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General NPI Number Information
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NPI Number | 1619922838
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Entity Type | Individual
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Provider Name | MEHUL BHALCHANDRA DESAI MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 8100 SW 10TH ST CROSS ROAD BUISNESS PARK BLD 3, SUITE 1700J
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City | PLANTATION
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State | FL
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Zip | 33324-3279
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Country | US
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Telephone | 954-210-1155
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Fax | 954-753-8321
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Provider Business Mailing Address
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Address Line | 8100 SW 10TH ST CROSS ROAD BUISNESS PARK BLD 3, SUITE 1700J
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City | PLANTATION
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State | FL
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Zip | 33324-3279
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Country | US
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Telephone | 954-210-1155
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Fax | 954-753-8321
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME63393
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License Number State | FL
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