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General NPI Number Information
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NPI Number | 1568410900
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Entity Type | Individual
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Provider Name | ROHINI SASTRY MD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 1414 EAST MAIN STREET SUITE 3
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City | LEESBURG
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State | FL
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Zip | 34748
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Country | US
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Telephone | 352-728-2110
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Fax | 352-728-2115
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Provider Business Mailing Address
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Address Line | 1414 EAST MAIN STREET SUITE 3
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City | LEESBURG
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State | FL
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Zip | 34748
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Country | US
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Telephone | 352-728-2110
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Fax | 352-728-2115
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME 62040
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME62040
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License Number State | FL
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