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General NPI Number Information
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NPI Number | 1962650879
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Entity Type | Individual
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Provider Name | IVAN SARRIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 08/10/2025
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Provider Practice Location Address
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Address Line | 1134 E CARTMILL AVE
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City | TULARE
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State | CA
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Zip | 93274-9610
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Country | US
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Telephone | 559-686-9097
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Fax | 559-685-4635
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Provider Business Mailing Address
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Address Line | 1134 E CARTMILL AVE
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City | TULARE
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State | CA
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Zip | 93274-9610
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Country | US
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Telephone | 559-686-9097
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD434674
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C55429
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License Number State | CA
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