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General NPI Number Information
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NPI Number | 1558584565
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Entity Type | Organization
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Legal Business Name | SARASOTA FAMILY MEDICAL INC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 6813 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-5603
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Country | US
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Telephone | 941-923-5861
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Fax | 941-926-4547
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Provider Business Mailing Address
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Address Line | 6813 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-5603
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Country | US
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Telephone | 941-923-5861
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Fax | 941-926-4547
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLAUDE J. MASON
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Credential | M.D.
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Telephone | 941-923-5861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME57727
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0079271
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License Number State | FL
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