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General NPI Number Information
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NPI Number | 1871225797
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Entity Type | Individual
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Provider Name | SERGIY DRUGANOV
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Gender | Male
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1905 S NEW MARKET ST STE 220
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City | CARMEL
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State | IN
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Zip | 46032-7397
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Country | US
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Telephone | 317-426-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 14162 WICKSWORTH WAY
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City | CARMEL
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State | IN
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Zip | 46032-9170
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Country | US
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Telephone | 205-566-5954
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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 | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT21505510
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number | H-000040
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License Number State | AZ
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