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General NPI Number Information
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NPI Number | 1477547503
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Entity Type | Individual
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Provider Name | PETER LEWIS SARKOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2005
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 2662 ELM RD BUILDING C
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City | CORTLAND
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State | OH
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Zip | 44410
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Country | US
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Telephone | 234-244-4251
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Fax | 234-244-8218
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Provider Business Mailing Address
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Address Line | 2662 ELM RD BUILDING C
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City | CORTLAND
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State | OH
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Zip | 44410
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Country | US
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Telephone | 234-244-4251
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Fax | 234-244-8218
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME93650
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35083016
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License Number State | OH
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