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General NPI Number Information
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NPI Number | 1528264652
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Entity Type | Organization
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Legal Business Name | SANKER INTERNATIONAL, INC.
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 106 S OLD BETSY RD STE A
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City | KEENE
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State | TX
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Zip | 76059-2466
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Country | US
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Telephone | 817-645-8015
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Fax | 817-645-8015
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Provider Business Mailing Address
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Address Line | 106 S OLD BETSY RD STE A
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City | KEENE
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State | TX
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Zip | 76059-2466
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Country | US
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Telephone | 817-645-8015
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Fax | 817-645-8015
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. JOHN SANKER
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Credential | PH. D.
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Telephone | 817-645-8015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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