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General NPI Number Information
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NPI Number | 1831256809
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Entity Type | Individual
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Provider Name | ANTONIA ROSA SANJORGE MD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 8940 N KENDALL DR SUITE 603E
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City | MIAMI
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State | FL
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Zip | 33176-2148
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Country | US
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Telephone | 305-273-0026
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Fax | 305-273-0388
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Provider Business Mailing Address
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Address Line | 6920 SW 99TH AVE
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City | MIAMI
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State | FL
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Zip | 33173-4640
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Country | US
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Telephone | 305-273-0026
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Fax | 305-273-0388
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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 | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | ME56516
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License Number State | FL
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