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General NPI Number Information
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NPI Number | 1942367156
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Entity Type | Individual
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Provider Name | VIREN D. DESAI M.D
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1345 NE 4TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1031
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Country | US
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Telephone | 954-458-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 NE 4TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1031
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Country | US
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Telephone | 954-458-1199
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 20010673
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME69424
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License Number State | FL
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