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General NPI Number Information
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NPI Number | 1700185089
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Entity Type | Individual
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Provider Name | SANJAYA KUMAR SATAPATHY MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 11/11/2011
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Provider Practice Location Address
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Address Line | 1407 UNION AVE SUITE 640
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City | MEMPHIS
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State | TN
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Zip | 38104-3627
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Country | US
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Telephone | 901-866-8813
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Fax | 901-302-2120
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Provider Business Mailing Address
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Address Line | 1407 UNION AVE SUITE 640
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City | MEMPHIS
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State | TN
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Zip | 38104-3627
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Country | US
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Telephone | 901-866-8372
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Fax | 901-302-2372
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD0000047432
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | MD0000047432
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | MD0000047432
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License Number State | TN
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