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General NPI Number Information
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NPI Number | 1649204488
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Entity Type | Individual
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Provider Name | SACHIN H DESAI PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | G2037 S CENTER RD SUITE A
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City | BURTON
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State | MI
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Zip | 48519-1101
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Country | US
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Telephone | 810-814-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 5034 SPRING WELL LN
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City | GRAND BLANC
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State | MI
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Zip | 48439-4236
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Country | US
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Telephone | 810-606-0005
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501004958
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License Number State | MI
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