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General NPI Number Information
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NPI Number | 1700884525
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Entity Type | Individual
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Provider Name | SANDLER L BURKLEY O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 3020 LEE BLVD
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-2438
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Country | US
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Telephone | 239-418-0999
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Fax | 239-418-0091
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Provider Business Mailing Address
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Address Line | 9617 GULF RESEARCH LN
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City | FORT MYERS
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State | FL
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Zip | 33912-4555
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Country | US
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Telephone | 239-418-0999
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Fax | 239-418-0091
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC1074
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License Number State | FL
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