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General NPI Number Information
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NPI Number | 1639534357
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Entity Type | Individual
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Provider Name | HARSHAL DESAI
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Gender | Male
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 4220 LEGION RD
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City | HOPE MILLS
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State | NC
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Zip | 28348-8904
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Country | US
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Telephone | 910-868-6178
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Fax |
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Provider Business Mailing Address
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Address Line | 3237 NORTHGATE DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-4600
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Country | US
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Telephone | 347-901-3002
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25682
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License Number State | NC
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