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General NPI Number Information
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NPI Number | 1629106042
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Entity Type | Organization
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Legal Business Name | GEORGE L SANCHEZ, MD
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 3028 4TH ST B
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City | MARIANNA
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State | FL
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Zip | 32446-2127
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Country | US
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Telephone | 850-482-4655
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Fax | 850-482-6694
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Provider Business Mailing Address
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Address Line | 3028 4TH ST B
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City | MARIANNA
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State | FL
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Zip | 32446-2127
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Country | US
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Telephone | 850-482-4655
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Fax | 850-482-6694
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE L SANCHEZ
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Credential | M.D.
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Telephone | 850-482-4655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME0061139
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License Number State | FL
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