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General NPI Number Information
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NPI Number | 1811968027
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Entity Type | Individual
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Provider Name | SARO VERGHESE M.D
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Gender | Female
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-231-1185
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Fax |
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Provider Business Mailing Address
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Address Line | LRMC, CMR -402 BOX 1767
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City | APO
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State | AE
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Zip | 09180
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Country | US
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Telephone | 637-191-7854
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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 | 15959
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License Number State | HI
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