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General NPI Number Information
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NPI Number | 1730100413
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Entity Type | Individual
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Provider Name | KRISHNA B DESHPANDE MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 4995 BRADENTON AVE STE 110
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City | DUBLIN
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State | OH
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Zip | 43017-3551
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Country | US
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Telephone | 937-707-4662
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Fax | 614-573-0530
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Provider Business Mailing Address
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Address Line | 4995 BRADENTON AVE STE 110
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City | DUBLIN
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State | OH
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Zip | 43017-3551
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Country | US
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Telephone | 937-707-4662
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Fax | 614-573-0530
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35-041372
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 35041372
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License Number State | OH
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