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General NPI Number Information
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NPI Number | 1558450015
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Entity Type | Organization
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Legal Business Name | MARC A. SANDER, D.D.S., P.A.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2323 NE 26TH AVE SUITE 108
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1147
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Country | US
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Telephone | 954-782-3334
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Fax | 954-580-3511
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Provider Business Mailing Address
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Address Line | 2323 NE 26TH AVE SUITE 108
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1147
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Country | US
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Telephone | 954-782-3334
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Fax | 954-580-3511
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC ALAN SANDER
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Credential |
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Telephone | 954-782-3334
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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 | DN 7595
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License Number State | FL
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