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General NPI Number Information
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NPI Number | 1467724468
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Entity Type | Organization
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Legal Business Name | BRENDA SANZOBRINO PLLC
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 1779 N UNIVERSITY DR SUITE 204
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-0929
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Country | US
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Telephone | 954-962-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 1779 N UNIVERSITY DR SUITE 204
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-0929
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRENDA SANZOBRINO
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Credential | MD
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Telephone | 954-962-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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