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General NPI Number Information
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NPI Number | 1649581067
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Entity Type | Individual
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Provider Name | SAURABH DASGUPTA MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 929 JASONWAY AVE
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City | COLUMBUS
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State | OH
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Zip | 43214-2330
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Country | US
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Telephone | 862-371-5679
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Fax |
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Provider Business Mailing Address
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Address Line | 929 JASONWAY AVE
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City | COLUMBUS
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State | OH
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Zip | 43214-2330
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Country | US
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Telephone | 862-371-5679
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 27984
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D81106
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35.125060
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License Number State | OH
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