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General NPI Number Information
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NPI Number | 1528499365
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Entity Type | Organization
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Legal Business Name | SACHS DENTAL CENTER
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Dates
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Enumeration Date | 12/04/2013
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Last Update Date | 12/04/2013
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Provider Practice Location Address
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Address Line | 9835-8 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467
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Country | US
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Telephone | 561-434-3055
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Fax | 561-434-7037
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Provider Business Mailing Address
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Address Line | 9835-8 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467
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Country | US
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Telephone | 561-434-3055
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Fax | 561-434-7037
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RANDY JAY SACHS
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Credential | DMD
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Telephone | 561-434-3055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN15737
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License Number State | FL
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