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General NPI Number Information
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NPI Number | 1841263803
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Entity Type | Individual
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Provider Name | MICHAEL J SASSMAN DO
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Gender | Male
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 407 E 3RD ST
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City | DULUTH
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State | MN
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Zip | 55805-1950
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Country | US
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Telephone | 218-786-1111
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Fax | 218-786-4091
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34007830
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 60329
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 34820
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License Number State | CO
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