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General NPI Number Information
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NPI Number | 1770711491
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Entity Type | Individual
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Provider Name | MEYRICK ROSS KHAW SARMIENTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 559 W GERMANTOWN PIKE ROOM 2242. EINSTEIN MONTGOMERY NEWBORN SERVICES
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City | EAST NORRITON
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State | PA
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Zip | 19403-4250
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Country | US
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Telephone | 484-622-2244
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Fax | 484-622-2284
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Provider Business Mailing Address
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Address Line | 559 W GERMANTOWN PIKE NICU
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City | EAST NORRITON
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State | PA
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Zip | 19403-4250
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Country | US
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Telephone | 484-622-2250
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Fax | 484-622-2284
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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 | MD446587
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License Number State | PA
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