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General NPI Number Information
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NPI Number | 1235159559
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Entity Type | Individual
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Provider Name | DEEPAK SARWAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 5563 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45429-2225
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Country | US
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Telephone | 937-291-0839
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Fax | 937-291-0854
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Provider Business Mailing Address
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Address Line | 4331 NAPA VALLEY DR
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City | BELLBROOK
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State | OH
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Zip | 45305-1567
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Country | US
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Telephone | 937-848-7764
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35-07-71-66S
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License Number State | OH
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