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General NPI Number Information
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NPI Number | 1376669820
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Entity Type | Individual
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Provider Name | PRADEEP Y. SARSWAT MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HWY 965N,
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City | OAKDALE
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State | IA
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Zip | 52319
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Country | US
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Telephone | 319-626-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 W LINCOLN WAY
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-2328
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Country | US
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Telephone | 641-752-7301
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21228
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License Number State | IA
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