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General NPI Number Information
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NPI Number | 1811250913
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Entity Type | Individual
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Provider Name | JASMIN RADHIKA DESAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 15211 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6072
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Country | US
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Telephone | 352-345-4565
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Fax | 352-596-6051
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Provider Business Mailing Address
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Address Line | 5400 PINEHURST DR
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City | SPRING HILL
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State | FL
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Zip | 34606-3833
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Country | US
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Telephone | 352-277-5348
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Fax | 352-606-2857
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | ME135699
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME135699
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME135699
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME135699
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License Number State | FL
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