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NPI 1790280055

NPI 1790280055 : HECTOR SAUCEDO MD : COLUMBUS, OH

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General NPI Number Information
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    NPI Number           |    1790280055
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    Entity Type          |    Individual 
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    Provider Name        |    HECTOR SAUCEDO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/28/2018
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    Last Update Date     |    01/27/2025
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Provider Practice Location Address
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    Address Line         |    700 CHILDRENS DR 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43205-2664
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    Country              |    US
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    Telephone            |    614-722-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5900 BALCONES DR STE 100 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-4298
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    Country              |    US
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    Telephone            |    512-766-5114
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    35141185
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    2080P0204X
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    Taxonomy Name        |    Pediatric Emergency Medicine (Pediatrics) Physician
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    License Number       |    35141185
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    35141185
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    2083B0002X
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    Taxonomy Name        |    Obesity Medicine (Preventive Medicine) Physician
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    License Number       |    89997134
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    License Number State |    TX
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