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General NPI Number Information
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NPI Number | 1710055256
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Entity Type | Individual
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Provider Name | SANGITA DEVESHWAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 1180 N INDIAN CANYON DR STE E319
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4809
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Country | US
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Telephone | 760-325-1203
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Fax | 760-325-5485
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Provider Business Mailing Address
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Address Line | 1180 N INDIAN CANYON DR STE E319
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4809
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Country | US
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Telephone | 760-325-1203
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Fax | 760-325-5485
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036126640
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License Number State | IL
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