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General NPI Number Information
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NPI Number | 1407459340
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Entity Type | Individual
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Provider Name | BENJAMINE E SAGAR PT BCB-PMD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 2727 E MAIN ST
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City | VENTURA
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State | CA
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Zip | 93003-2803
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Country | US
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Telephone | 805-643-0171
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Fax | 805-643-0177
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Provider Business Mailing Address
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Address Line | 2727 E MAIN ST
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City | VENTURA
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State | CA
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Zip | 93003-2803
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Country | US
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Telephone | 805-643-0171
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Fax | 805-643-0177
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT23151
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License Number State | CA
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