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General NPI Number Information
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NPI Number | 1982479598
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Entity Type | Organization
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Legal Business Name | DILIP M DESAI
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Dates
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Enumeration Date | 11/24/2023
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Last Update Date | 11/24/2023
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Provider Practice Location Address
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Address Line | 6240 RASHELLE DR SUITE 201
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City | FLINT
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State | MI
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Zip | 48507
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Country | US
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Telephone | 810-600-2888
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Fax | 810-600-2889
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Provider Business Mailing Address
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Address Line | 6240 RASHELLE DR SUITE 201
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City | FLINT
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State | MI
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Zip | 48507
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Country | US
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Telephone | 810-600-2888
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Fax | 810-600-2889
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | SANDHYA DESAI
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Credential |
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Telephone | 810-600-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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