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NPI 1710545314

NPI 1710545314 : SARAH ANNE SACHDEVA DMD : SOUTHFIELD, MI

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General NPI Number Information
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    NPI Number           |    1710545314
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH ANNE SACHDEVA DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/30/2019
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    Last Update Date     |    04/08/2025
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Provider Practice Location Address
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    Address Line         |    19189 W 10 MILE RD 
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    City                 |    SOUTHFIELD
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    State                |    MI
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    Zip                  |    48075-2442
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    Country              |    US
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    Telephone            |    248-996-8756
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    Fax                  |    248-595-8958
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Provider Business Mailing Address
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    Address Line         |    327 MILLINGTON BLVD 
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    City                 |    BLOOMFIELD HILLS
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    State                |    MI
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    Zip                  |    48304-1754
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    Country              |    US
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    Telephone            |    734-864-2394
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    2901601977
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    1002232-15
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    License Number State |    WI
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