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General NPI Number Information
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NPI Number | 1649615907
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Entity Type | Individual
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Provider Name | RAJAVI DESAI MS, PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 475 29TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-3510
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Country | US
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Telephone | 408-896-7213
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Fax |
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Provider Business Mailing Address
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Address Line | 183 FAIRCHID DR
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-2014
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Country | US
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Telephone |
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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 | 40061
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305207174
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 033627
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License Number State | NY
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