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General NPI Number Information
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NPI Number | 1598900375
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Entity Type | Organization
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Legal Business Name | MARIO J SANCHEZ-MARTINEZ MD PA
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 5901 SW 74TH ST SUITE 410
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City | MIAMI
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State | FL
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Zip | 33143-5165
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Country | US
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Telephone | 305-205-7057
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Fax | 305-661-6963
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Provider Business Mailing Address
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Address Line | 5901 SW 74TH ST SUITE 410
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City | MIAMI
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State | FL
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Zip | 33143-5165
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIO J SANCHEZ-MARTINEZ
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Credential | M.D.
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Telephone | 305-205-7057
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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 |
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License Number State |
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