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General NPI Number Information
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NPI Number | 1730716796
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Entity Type | Individual
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Provider Name | PUSHKAR DESHPANDE
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 19441 GOLF VISTA PLZ STE 250
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City | LEESBURG
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State | VA
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Zip | 20176-8271
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Country | US
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Telephone | 703-729-3420
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Fax | 703-729-3422
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Provider Business Mailing Address
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Address Line | PO BOX 3250
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City | WINCHESTER
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State | VA
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Zip | 22604-2450
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Country | US
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Telephone | 703-673-4490
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Fax | 540-678-9025
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 0102208771
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | H0101272
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License Number State | MD
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