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General NPI Number Information
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NPI Number | 1114553963
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Entity Type | Organization
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Legal Business Name | SARASOTA HEALTHCARE 168 LLC
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Dates
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Enumeration Date | 03/12/2020
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 2888 RINGLING BLVD UNIT CD
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City | SARASOTA
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State | FL
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Zip | 34237-5331
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Country | US
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Telephone | 941-413-5100
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Fax | 941-388-7292
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Provider Business Mailing Address
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Address Line | 2888 RINGLING BLVD UNIT CD
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City | SARASOTA
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State | FL
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Zip | 34237-5331
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Country | US
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Telephone | 941-413-5100
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Fax | 941-388-7292
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Authorized Official
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Title or Position | AUTHORIZED SIGNER
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Name | ASHWANI L SOIN
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Credential | OWNER
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Telephone | 732-343-2683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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