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General NPI Number Information
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NPI Number | 1033391990
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Entity Type | Organization
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Legal Business Name | ROHINI SASTRY M.D. PA
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 2785 S BAY ST
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City | EUSTIS
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State | FL
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Zip | 32726-6591
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Country | US
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Telephone | 352-728-2110
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Fax | 352-728-2115
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Provider Business Mailing Address
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Address Line | 1414 E MAIN ST
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City | LEESBURG
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State | FL
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Zip | 34748-5329
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Country | US
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Telephone | 352-728-2110
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Fax | 352-728-2115
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROHINI SASTRY
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Credential | M.D.
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Telephone | 352-728-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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