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General NPI Number Information
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NPI Number | 1588059059
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Entity Type | Individual
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Provider Name | SABA BAGEWADI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1100 LARKSPUR LANDING CIR STE 10
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City | LARKSPUR
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State | CA
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Zip | 94939-1836
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Country | US
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Telephone | 415-464-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 15 HOSPITAL DR
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City | YORK
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State | ME
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Zip | 03909-1011
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Country | US
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Telephone | 207-351-2478
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Fax | 207-351-2216
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A169110
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 00000000
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A169110
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License Number State | CA
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