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General NPI Number Information
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NPI Number | 1205411972
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Entity Type | Organization
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Legal Business Name | SAGARMATHA ENTERPRISES
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Dates
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Enumeration Date | 03/15/2021
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 9735 N 90TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5067
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Country | US
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Telephone | 802-222-2270
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Fax |
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Provider Business Mailing Address
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Address Line | 8790 E VIA DE VENTURA # 6551
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3373
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Country | US
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Telephone | 802-222-2270
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD DOHRING
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Credential | MD
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Telephone | 480-222-2270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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