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General NPI Number Information
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NPI Number | 1801100540
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Entity Type | Individual
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Provider Name | DEVINDRA SASTRI DABIESINGH D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 4867 W SUNSET BLVD 3RD FLOOR ELECTROPHYSIOLOGY
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City | LOS ANGELES
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State | CA
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Zip | 90027-5969
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Country | US
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Telephone | 561-254-1997
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Fax |
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Provider Business Mailing Address
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Address Line | 123 DEWEY AVE APT C
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3875
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Country | US
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Telephone | 561-254-1997
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 267187-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 20A14002
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 20A14002
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License Number State | CA
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