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General NPI Number Information
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NPI Number | 1861051419
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Entity Type | Individual
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Provider Name | DEV DESAI MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 120 E OLENTANGY ST
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City | POWELL
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State | OH
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Zip | 43065-9069
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Country | US
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Telephone | 614-898-1211
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Fax | 614-961-1096
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Provider Business Mailing Address
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Address Line | 120 E OLENTANGY ST
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City | POWELL
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State | OH
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Zip | 43065-9069
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Country | US
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Telephone | 614-898-1211
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Fax | 614-961-1096
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.144297
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License Number State | OH
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