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General NPI Number Information
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NPI Number | 1346217882
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Entity Type | Individual
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Provider Name | LARRY A SARGENT MD
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Gender | Male
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 620 MEDICAL DR SUITE 310
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City | BOUNTIFUL
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State | UT
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Zip | 84010-5084
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Country | US
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Telephone | 801-295-6554
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Fax | 801-294-4983
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Provider Business Mailing Address
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Address Line | 620 MEDICAL DR SUITE 310
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City | BOUNTIFUL
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State | UT
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Zip | 84010-5084
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Country | US
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Telephone | 801-295-6554
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Fax | 801-294-4983
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 18170
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 18170
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License Number State | TN
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