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General NPI Number Information
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NPI Number | 1437281318
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Entity Type | Individual
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Provider Name | CHALA SARGENT MD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 N 49TH ST FHC FIRST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19139-2718
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Country | US
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Telephone | 215-472-7291
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Fax | 215-472-7296
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Provider Business Mailing Address
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Address Line | 109 GORDON LN
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City | NORTH WALES
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State | PA
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Zip | 19454-4277
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Country | US
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Telephone | 267-439-6542
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Fax | 215-472-7296
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD042321L
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License Number State | PA
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