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General NPI Number Information
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NPI Number | 1538293733
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Entity Type | Organization
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Legal Business Name | SARITA DORSCHUG D.O. P.C.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 652 SUFFOLK AVE. SUITE 208
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City | BRENTWOOD
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State | NY
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Zip | 11717-4305
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Country | US
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Telephone | 631-231-3535
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Fax | 631-231-3561
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Provider Business Mailing Address
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Address Line | 652 SUFFOLK AVE. SUITE 208
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City | BRENTWOOD
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State | NY
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Zip | 11717
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Country | US
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Telephone | 631-231-3535
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Fax | 631-231-3561
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARITA K DORSCHUG
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Credential | D.O.
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Telephone | 631-231-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 203811
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License Number State | NY
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