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General NPI Number Information
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NPI Number | 1679818413
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Entity Type | Organization
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Legal Business Name | SANDS CLINIC, PA
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 119 MEDICAL CIR
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City | ROCKINGHAM
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State | NC
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Zip | 28379-5221
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Country | US
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Telephone | 910-719-4043
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Fax | 910-817-7193
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Provider Business Mailing Address
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Address Line | 119 MEDICAL CIR
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City | ROCKINGHAM
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State | NC
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Zip | 28379-5221
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Country | US
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Telephone | 910-719-4043
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Fax | 910-997-7679
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Authorized Official
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Title or Position | PHYSICIAN
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Name | GILBERT DOMINGO ARENAS
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Credential | M.D.
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Telephone | 910-719-4043
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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 | NC35256
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License Number State | NC
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