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General NPI Number Information
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NPI Number | 1407991391
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Entity Type | Organization
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Legal Business Name | SARGENT CONSULTING
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1407 SHARP ST.
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City | TAOS
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State | NM
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Zip | 87571
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Country | US
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Telephone | 505-758-8123
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Fax | 505-758-8123
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Provider Business Mailing Address
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Address Line | PO BOX 981
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City | TAOS
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State | NM
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Zip | 87571-0981
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Country | US
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Telephone | 505-758-8123
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Fax | 505-758-8123
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAT SARGENT
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Credential | ED.D., LPCC
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Telephone | 505-758-8123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2406734
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License Number State | NM
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