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General NPI Number Information
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NPI Number | 1063862563
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Entity Type | Organization
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Legal Business Name | LUIS A SANCHEZ DMD AND ASSOCIATES
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 401 SW 42ND AVE SUITE 302
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City | CORAL GABLES
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State | FL
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Zip | 33134-1938
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Country | US
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Telephone | 305-445-4646
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Fax | 561-517-9006
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Provider Business Mailing Address
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Address Line | 401 SW 42ND AVE SUITE 302
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City | CORAL GABLES
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State | FL
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Zip | 33134-1938
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Country | US
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Telephone | 305-445-4646
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Fax | 561-517-9006
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUIS ANTONIO SANCHEZ
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Credential | D.M.D.
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Telephone | 305-445-4646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN14374
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License Number State | FL
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