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General NPI Number Information
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NPI Number | 1205097698
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Entity Type | Individual
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Provider Name | YASHVIR SANGWAN M.D
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Gender | Male
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 100 E CARROLL ST DIVISION OF PULMONARY AND CRITICAL CARE
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 410-546-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 309 MILL POND LN APT 273
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City | SALISBURY
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State | MD
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Zip | 21804-2144
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Country | US
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Telephone | 330-261-5031
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D71743
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License Number State | MD
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