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General NPI Number Information
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NPI Number | 1467014324
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Entity Type | Individual
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Provider Name | SARA SARDANO DMD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 23451 WALDEN CENTER DR STE 100
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City | ESTERO
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State | FL
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Zip | 34134-4908
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Country | US
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Telephone | 239-948-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 3009 HOMESTEAD CT
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City | CLEARWATER
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State | FL
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Zip | 33759-1620
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Country | US
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Telephone | 727-366-7870
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN24139
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License Number State | FL
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