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General NPI Number Information
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NPI Number | 1457542953
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Entity Type | Organization
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Legal Business Name | CARLOS SANCHEZ OD PA
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 8076 MEDITERRANEAN DR SUITE 115
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City | ESTERO
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State | FL
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Zip | 33928-8317
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Country | US
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Telephone | 239-992-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 2223 SW 51ST ST
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City | CAPE CORAL
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State | FL
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Zip | 33914-3001
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Country | US
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Telephone | 239-560-1571
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS SANCHEZ
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Credential | O.D.
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Telephone | 239-992-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | OPC3050
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License Number State | FL
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