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General NPI Number Information
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NPI Number | 1063829075
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Entity Type | Individual
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Provider Name | SAHIL RAO MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 500 GYPSY LN
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1315
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Country | US
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Telephone | 773-796-0061
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Fax |
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Provider Business Mailing Address
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Address Line | 1148 W HAMMER LN
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City | STOCKTON
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State | CA
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Zip | 95209-3011
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Country | US
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Telephone | 512-850-5565
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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 | T9222
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License Number State | TX
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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 | A146481
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License Number State | CA
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