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General NPI Number Information
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NPI Number | 1205686268
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Entity Type | Organization
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Legal Business Name | CLOSEDLOOPCLINIC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1219 S EAST AVE STE 206
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City | SARASOTA
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State | FL
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Zip | 34239-2355
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Country | US
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Telephone | 813-955-6329
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Fax | 813-441-7384
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Provider Business Mailing Address
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Address Line | 13867 LILAC SKY TER
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34211-7203
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Country | US
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Telephone | 813-955-6329
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Fax | 813-441-7384
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERBERT ESTIU SANCHEZ
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Credential | MD
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Telephone | 814-955-6329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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