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General NPI Number Information
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NPI Number | 1912162645
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Entity Type | Individual
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Provider Name | VICTOR SANZ D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 34020 7 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-4911
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Country | US
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Telephone | 888-477-7325
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Fax |
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Provider Business Mailing Address
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Address Line | 18310 NW 10TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3670
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Country | US
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Telephone | 954-438-4901
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901019873
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019028132
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License Number State | IL
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