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General NPI Number Information
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NPI Number | 1538446414
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Entity Type | Organization
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Legal Business Name | SANDERS COMPREHENSIVE CLINIC
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 11/07/2011
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Provider Practice Location Address
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Address Line | 7750 PALM RIVER RD
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City | TAMPA
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State | FL
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Zip | 33619-4215
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Country | US
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Telephone | 813-635-9611
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Fax | 813-635-0211
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Provider Business Mailing Address
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Address Line | 7750 PALM RIVER RD
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City | TAMPA
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State | FL
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Zip | 33619-4215
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Country | US
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Telephone | 813-635-9611
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Fax | 813-635-0211
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Authorized Official
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Title or Position | CEO
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Name | SANDRA ELAINE FFRENCH-ROSE
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Credential | ARNP
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Telephone | 813-635-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2602032
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License Number State | FL
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