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General NPI Number Information
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NPI Number | 1871518282
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Entity Type | Individual
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Provider Name | JAGDEEP SABHARWAL MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 1818 N MEADE ST
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City | APPLETON
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State | WI
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Zip | 54911-3454
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Country | US
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Telephone | 920-731-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 4665 HASTINGS DR
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City | BROOKFIELD
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State | WI
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Zip | 53045-8158
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 36096670
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01073485A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 36096670
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 036096670
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 01073485A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 36096670
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 36096670
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 36096670
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 36096670
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 62102-20
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License Number State | WI
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