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General NPI Number Information
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NPI Number | 1003876202
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Entity Type | Individual
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Provider Name | ROY JOHN SARTORI D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 667 EASTLAND AVE SE
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City | WARREN
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State | OH
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Zip | 44484-4503
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Country | US
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Telephone | 330-841-2378
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Fax | 330-841-4667
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Provider Business Mailing Address
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Address Line | 667 EASTLAND AVE SE
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City | WARREN
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State | OH
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Zip | 44484-4503
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Country | US
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Telephone | 330-841-2378
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Fax | 330-841-4667
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS004082L
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License Number State | PA
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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 | OS004082-L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 34-002622
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2622
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License Number State | OH
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