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General NPI Number Information
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NPI Number | 1811882194
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Entity Type | Individual
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Provider Name | SAGARKUMAR VIJAYBHAI PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 7080 MEXICO RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-1574
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Country | US
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Telephone | 363-626-7236
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Fax |
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Provider Business Mailing Address
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Address Line | 11437 OLIVE BLVD
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City | CREVE COEUR
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State | MO
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Zip | 63141-7108
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.036393
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2025020493
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License Number State | MO
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