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General NPI Number Information
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NPI Number | 1225407091
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Entity Type | Individual
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Provider Name | CATHY SARGENT DDS
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Gender | Female
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 18663 VENTURA BLVD STE 200
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City | TARZANA
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State | CA
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Zip | 91356-4197
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Country | US
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Telephone | 818-881-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 10394 ROCHESTER AVE APT 14
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City | LOS ANGELES
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State | CA
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Zip | 90024-5368
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Country | US
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Telephone | 949-735-5393
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 64775
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License Number State | CA
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