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General NPI Number Information
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NPI Number | 1033106745
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Entity Type | Individual
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Provider Name | SANDEEP SHARAD PANGARKAR D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1400 BELLINGER ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-5222
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Country | US
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Telephone | 715-838-5222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860912
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0912
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Country | US
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Telephone | 507-284-2511
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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 | P8062
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 200201615
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License Number State | NC
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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 | 81902
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License Number State | WI
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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 | P8062
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License Number State | TX
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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 | O1027
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License Number State | ID
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