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General NPI Number Information
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NPI Number | 1336776822
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Entity Type | Individual
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Provider Name | THOMAS C.C. SARGENT II MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1090 AMSTERDAM AVE FL 16
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City | NEW YORK
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State | NY
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Zip | 10025-1737
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Country | US
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Telephone | 212-523-5089
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24449
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City | NEW YORK
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State | NY
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Zip | 10087-0589
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Country | US
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Telephone | 833-351-8255
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 315845
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME168844
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1.079972
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 102895
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | V5826
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License Number State | TX
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