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General NPI Number Information
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NPI Number | 1689974040
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Entity Type | Organization
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Legal Business Name | ASHA K DESAI .M.D.P.C.
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 3581 PALMER DR SUITE #203
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City | CAMERON PARK
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State | CA
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Zip | 95682-8236
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Country | US
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Telephone | 530-677-8255
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Fax | 530-677-8935
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Provider Business Mailing Address
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Address Line | 3581 PALMER DR SUITE #203
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City | CAMERON PARK
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State | CA
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Zip | 95682-8236
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Country | US
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Telephone | 530-677-8255
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Fax | 530-677-8935
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASHA KAUSHIK DESAI
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Credential | M.D.
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Telephone | 530-677-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A39587
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License Number State | CA
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