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General NPI Number Information
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NPI Number | 1801982228
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Entity Type | Organization
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Legal Business Name | DESNAK PA
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 2909 S HAMPTON RD STE F228
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City | DALLAS
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State | TX
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Zip | 75224-3056
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Country | US
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Telephone | 214-371-2459
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Fax |
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Provider Business Mailing Address
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Address Line | 2909 S HAMPTON RD STE F228
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City | DALLAS
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State | TX
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Zip | 75224-3056
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Country | US
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Telephone | 214-371-2459
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NALINI M NAIK
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Credential |
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Telephone | 214-371-2459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F6988
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License Number State | TX
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