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NPI 1861802431

NPI 1861802431 : NEIMAR SARTORI DDS, MD, PHD : SPRING, TX

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General NPI Number Information
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    NPI Number           |    1861802431
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    Entity Type          |    Individual 
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    Provider Name        |    NEIMAR SARTORI DDS, MD, PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/05/2014
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    Last Update Date     |    10/03/2023
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Provider Practice Location Address
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    Address Line         |    6315 CYPRESSWOOD DR 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379-8208
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    Country              |    US
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    Telephone            |    832-737-8656
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4209 SPRING STUEBNER RD APT 26105 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77389-5386
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    Country              |    US
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    Telephone            |    424-278-3041
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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        |    1223P0700X
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    Taxonomy Name        |    Prosthodontics
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    License Number       |    40056
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    License Number State |    TX
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