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General NPI Number Information
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NPI Number | 1043741986
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Entity Type | Individual
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Provider Name | RACHEL ELISE SARGENT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 6740 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-5350
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Country | US
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Telephone | 929-455-2770
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Fax | 929-455-2748
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Provider Business Mailing Address
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Address Line | 6740 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-5350
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Country | US
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Telephone | 929-455-2770
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Fax | 929-455-2748
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 322640
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 322640
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License Number State | NY
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