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General NPI Number Information
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NPI Number | 1023483658
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Entity Type | Organization
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Legal Business Name | CHARLES H SARGENT, MD PA
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 1010 CENTRAL PKWY S
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City | SAN ANTONIO
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State | TX
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Zip | 78232-5021
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Country | US
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Telephone | 210-255-1499
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Fax | 210-255-1782
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Provider Business Mailing Address
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Address Line | 1010 CENTRAL PKWY S
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City | SAN ANTONIO
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State | TX
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Zip | 78232-5021
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Country | US
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Telephone | 210-255-1499
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Fax | 210-255-1782
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES HUNT SARGENT
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Credential | MD, PA
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Telephone | 210-255-1499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H3342
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License Number State | TX
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