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General NPI Number Information
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NPI Number | 1639707474
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Entity Type | Individual
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Provider Name | SARGOON NEPAUL MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1 CENTURIAN DR STE 301
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City | NEWARK
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State | DE
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Zip | 19713-2127
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Country | US
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Telephone | 855-527-7246
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Fax | 866-229-5063
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Provider Business Mailing Address
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Address Line | 111 S 11TH ST STE 8290
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4870
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Country | US
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Telephone | 215-518-3450
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D0103952
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | C1-0028234
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License Number State | DE
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