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General NPI Number Information
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NPI Number | 1780786665
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Entity Type | Individual
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Provider Name | SANJAY S DESHPANDE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | BELOIT HEALTH SYSTEM INC 1969 W. HART RD
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City | BELOIT
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State | WI
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Zip | 53511-2230
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Country | US
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Telephone | 608-364-5205
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Fax | 608-363-7377
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Provider Business Mailing Address
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Address Line | BELOIT HEALTH SYSTEM INC 1969 W. HART RD
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City | BELOIT
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State | WI
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Zip | 53511-2230
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Country | US
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Telephone | 608-364-2293
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Fax | 608-364-5525
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 31209-020
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 69737
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License Number State | MN
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