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General NPI Number Information
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NPI Number | 1760261085
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Entity Type | Individual
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Provider Name | SASHA SARIN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 2101 E 71ST ST
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City | CHICAGO
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State | IL
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Zip | 60649-2143
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Country | US
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Telephone | 773-241-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5123 FOREST RIDGE DR
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City | MC DONALD
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State | PA
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Zip | 15057-3523
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Country | US
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Telephone |
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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 | 12014257A
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License Number State | IN
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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 | 019.034639
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License Number State | IL
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