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General NPI Number Information
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NPI Number | 1720260813
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Entity Type | Organization
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Legal Business Name | SERGIO SANCHEZ ZAMBRANO, MD, PA
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 1650 W ROSEDALE ST SUITE 306
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City | FORT WORTH
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State | TX
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Zip | 76104-7400
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Country | US
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Telephone | 817-558-4403
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Fax | 817-641-3272
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Provider Business Mailing Address
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Address Line | 811 N MAIN ST
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City | CLEBURNE
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State | TX
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Zip | 76033-3816
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Country | US
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Telephone | 817-558-4403
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Fax | 817-641-3272
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Authorized Official
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Title or Position | MD, PA
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Name | DR. SERGIO SANCHEZ ZAMBRANO
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Credential |
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Telephone | 817-558-4403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E7263
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License Number State | TX
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