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General NPI Number Information
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NPI Number | 1275615296
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Entity Type | Individual
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Provider Name | MICHAEL D SARAP M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1230 CLARK ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725
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Country | US
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Telephone | 740-432-5685
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Fax | 740-432-3812
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Provider Business Mailing Address
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Address Line | 100 CLARK CT
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9395
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Country | US
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Telephone | 740-432-5685
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Fax | 740-432-3812
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35054732
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License Number State | OH
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