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General NPI Number Information
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NPI Number | 1821222738
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Entity Type | Individual
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Provider Name | YOGITA TAILOR DESAI D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 26 TOWER RD NE
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City | MARIETTA
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State | GA
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Zip | 30060-6947
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Country | US
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Telephone | 301-518-7654
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Fax |
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Provider Business Mailing Address
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Address Line | 101 AUSTIN DR
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City | ATLANTA
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State | GA
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Zip | 30328-4137
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Country | US
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Telephone |
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 069647
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License Number State | GA
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