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General NPI Number Information
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NPI Number | 1689595845
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Entity Type | Individual
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Provider Name | MANMOHAN SINGH SAGOO R.PH
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Gender | Male
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 7033 BRYANT IRVIN RD STE 300
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City | FORT WORTH
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State | TX
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Zip | 76132-4278
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Country | US
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Telephone | 817-292-3800
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Fax | 817-549-5528
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Provider Business Mailing Address
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Address Line | 5025 BREEZEWIND LN
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City | FORT WORTH
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State | TX
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Zip | 76123-6011
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Country | US
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Telephone | 817-292-3800
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Fax | 817-549-5528
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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 | 1835C0207X
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Taxonomy Name | Compounded Sterile Preparations Pharmacist
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License Number | 24574
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License Number State | TX
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