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General NPI Number Information
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NPI Number | 1578753026
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Entity Type | Individual
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Provider Name | EDUARDO H SANCHEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 959 E VENICE AVE
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City | VENICE
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State | FL
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Zip | 34285-7056
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Country | US
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Telephone | 941-485-8455
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Fax |
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Provider Business Mailing Address
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Address Line | 516 LYONS BAY RD
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City | NOKOMIS
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State | FL
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Zip | 34275-3019
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Country | US
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Telephone | 941-484-4779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME19686
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License Number State | FL
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