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General NPI Number Information
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NPI Number | 1801771423
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Entity Type | Individual
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Provider Name | ALESSANDRO MIGUEL SARGADO AMORES
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Gender | Male
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1 VETERANS DR
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2309
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Country | US
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Telephone | 612-629-7401
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Fax |
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Provider Business Mailing Address
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Address Line | 6432 HEARTHSTONE AVE S
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-6007
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Country | US
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Telephone | 651-468-5109
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033.0135798
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License Number State | VT
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