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General NPI Number Information
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NPI Number | 1497868491
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Entity Type | Individual
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Provider Name | SARNIT CHARNOND M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 550 LANDMARKS BLVD
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City | ALTON
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State | IL
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Zip | 62002-6321
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Country | US
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Telephone | 618-463-5905
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Fax | 618-463-5935
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Provider Business Mailing Address
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Address Line | 550 LANDMARKS BLVD
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City | ALTON
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State | IL
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Zip | 62002-6321
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Country | US
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Telephone | 618-463-5905
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Fax | 618-463-5935
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036050746
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License Number State | IL
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