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General NPI Number Information
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NPI Number | 1962713396
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Entity Type | Individual
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Provider Name | AMAR AJIT DESAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 3643 N ROXBORO ST
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City | DURHAM
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State | NC
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Zip | 27704-2702
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Country | US
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Telephone | 919-684-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 3643 N ROXBORO ST
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City | DURHAM
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State | NC
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Zip | 27704-2702
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LL32986
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD455999
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 286269
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 286269
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2022-02437
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License Number State | NC
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