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General NPI Number Information
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NPI Number | 1639059413
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Entity Type | Individual
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Provider Name | DAVID MICHAEL SANDERS JR. CRT
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1000 WATERMAN WAY
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City | TAVARES
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State | FL
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Zip | 32778-5266
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Country | US
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Telephone | 352-353-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 1863 YUKON DR
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City | ORLANDO
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State | FL
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Zip | 32818-5854
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Country | US
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Telephone | 407-535-1997
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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 | 2278C0205X
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Taxonomy Name | Critical Care Certified Respiratory Therapist
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License Number | TT17893
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License Number State | FL
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