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General NPI Number Information
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NPI Number | 1427119312
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Entity Type | Organization
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Legal Business Name | RAFAEL SANCHEZ GUERRA OD PA
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 19501 SW 27 AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056
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Country | US
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Telephone | 305-622-7202
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Fax |
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Provider Business Mailing Address
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Address Line | 9101 SW 82ND AVE
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City | CORAL GABLES
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State | FL
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Zip | 33156-7451
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Country | US
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Telephone | 786-280-9870
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. RAFAEL SANCHEZ GUERRA
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Credential | OD
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Telephone | 786-280-9870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 2674
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License Number State | FL
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