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General NPI Number Information
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NPI Number | 1174846265
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Entity Type | Organization
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Legal Business Name | YASH V SACHDEV, MD, PA
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 860 CENTURY MEDICAL DR
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City | TITUSVILLE
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State | FL
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Zip | 32796-2141
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Country | US
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Telephone | 321-267-8260
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Fax | 321-267-5106
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Provider Business Mailing Address
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Address Line | 860 CENTURY MEDICAL DR
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City | TITUSVILLE
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State | FL
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Zip | 32796-2141
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Country | US
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Telephone | 321-267-8260
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Fax | 321-267-5106
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Authorized Official
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Title or Position | PRESIDENT
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Name | YASH V SACHDEV
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Credential | MD
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Telephone | 321-267-8260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME0029309
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License Number State | FL
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