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General NPI Number Information
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NPI Number | 1952802142
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Entity Type | Individual
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Provider Name | RIDDHI DESAI PT
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Gender | Female
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 02/23/2018
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Provider Practice Location Address
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Address Line | 451 HIDDEN MEADOWS DR STE 100
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City | HILLSDALE
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State | MI
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Zip | 49242-9812
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Country | US
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Telephone | 517-437-5190
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Fax |
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Provider Business Mailing Address
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Address Line | 528 W CHICAGO ST APT 17
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City | COLDWATER
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State | MI
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Zip | 49036-8416
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Country | US
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Telephone | 614-795-1632
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501017675
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License Number State | MI
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