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General NPI Number Information
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NPI Number | 1407145709
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Entity Type | Individual
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Provider Name | AMIT VINAY SASTRY MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 95 ARCH ST STE 115
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City | AKRON
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State | OH
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Zip | 44304-1466
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Country | US
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Telephone | 330-375-6149
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Fax | 330-434-6908
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Provider Business Mailing Address
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Address Line | 95 ARCH ST STE 115
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City | AKRON
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State | OH
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Zip | 44304-1466
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Country | US
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Telephone | 330-375-6149
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Fax | 330-434-6908
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | ME136712
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License Number State | FL
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