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General NPI Number Information
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NPI Number | 1861455172
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Entity Type | Individual
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Provider Name | AVINASH M DESAI MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 4000 HIGHLAND RD STE 130
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City | WATERFORD
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State | MI
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Zip | 48328-2167
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Country | US
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Telephone | 248-681-7909
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Fax | 248-681-5814
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Provider Business Mailing Address
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Address Line | 4000 HIGHLAND RD STE 130
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City | WATERFORD
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State | MI
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Zip | 48328-2167
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Country | US
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Telephone | 248-681-7909
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Fax | 248-681-0455
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 4301038163
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 038163
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License Number State | MI
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