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General NPI Number Information
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NPI Number | 1316158306
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Entity Type | Individual
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Provider Name | LOUIS SANJAR MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1536 N JEFFERSON ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6525
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Country | US
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Telephone | 904-475-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-1135
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Country | US
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Telephone | 352-376-1611
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME96653
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME96653
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | ME96653
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License Number State | FL
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