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General NPI Number Information
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NPI Number | 1093861429
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Entity Type | Individual
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Provider Name | SARA ISABEL PAI MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 35 PARK ST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1110
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Country | US
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Telephone | 855-476-4569
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Fax |
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Provider Business Mailing Address
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Address Line | 220 BOYLSTON ST
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City | BOSTON
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State | MA
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Zip | 02116-3929
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Country | US
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Telephone | 617-877-9118
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 258092
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 75064
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License Number State | CT
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