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General NPI Number Information
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NPI Number | 1972513620
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Entity Type | Individual
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Provider Name | DEVAL KUSHANG DESAI PT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 9265 ACTIVITY RD STE 107
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City | SAN DIEGO
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State | CA
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Zip | 92126-4444
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Country | US
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Telephone | 858-344-5586
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Fax |
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Provider Business Mailing Address
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Address Line | 14218 VIA MICHELANGELO
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City | SAN DIEGO
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State | CA
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Zip | 92129-4200
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Country | US
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Telephone | 858-232-9822
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Fax | 858-536-9461
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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 | 5501012198
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT32733
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License Number State | CA
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