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General NPI Number Information
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NPI Number | 1821543042
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Entity Type | Organization
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Legal Business Name | SENTINEL MSO INC
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 747 PONCE DE LEON BLVD SUITE 602
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City | CORAL GABLES
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State | FL
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Zip | 33134-2049
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Country | US
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Telephone | 305-443-9342
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Fax | 305-443-4849
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Provider Business Mailing Address
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Address Line | 2800 PONCE DE LEON BLVD SUITE 1480
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City | CORAL GABLES
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State | FL
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Zip | 33134-6913
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Country | US
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Telephone | 786-878-5500
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Fax | 786-552-9696
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CARLOS A SABATES
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Credential | M.D.
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Telephone | 786-878-5500
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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 |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | FL
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