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General NPI Number Information
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NPI Number | 1154591188
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Entity Type | Organization
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Legal Business Name | MICHAEL E. SANDLER
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 217 GEORGE BUSH BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33444-4034
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Country | US
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Telephone | 561-276-2800
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Fax | 561-276-7079
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Provider Business Mailing Address
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Address Line | 217 GEORGE BUSH BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33444-4034
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Country | US
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Telephone | 561-276-2800
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Fax | 561-276-7079
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL E SANDLER
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Credential | O.D.
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Telephone | 561-276-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OPC0001442
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License Number State | FL
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