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General NPI Number Information
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NPI Number | 1366104655
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Entity Type | Organization
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Legal Business Name | SARMA MANAGEMENT
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 733 E OLYMPIA AVE
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City | PUNTA GORDA
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State | FL
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Zip | 33950-3841
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Country | US
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Telephone | 941-673-2474
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Fax |
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Provider Business Mailing Address
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Address Line | 24646 NOVA LN
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City | PUNTA GORDA
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State | FL
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Zip | 33980-2743
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Country | US
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Telephone | 217-899-8008
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SURESH SARMA
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Credential | MD
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Telephone | 217-899-8008
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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 |
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License Number State |
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