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General NPI Number Information
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NPI Number | 1821083627
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Entity Type | Organization
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Legal Business Name | SANDERS COMPREHENSIVE CLINIC, INC.
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 7750 PALM RIVER ROAD
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City | TAMPA
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State | FL
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Zip | 33619-4215
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Country | US
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Telephone | 813-635-9611
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Fax | 813-635-0211
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Provider Business Mailing Address
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Address Line | 7750 PALM RIVER ROAD
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City | TAMPA
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State | FL
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Zip | 33619-4215
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Country | US
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Telephone | 813-635-9611
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Fax | 813-635-0211
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Authorized Official
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Title or Position | CEO
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Name | MRS. SANDRA ELAINE FFRENCH-ROSE
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Credential | ARNP
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Telephone | 813-635-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME68819
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP2602032
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License Number State | FL
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