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General NPI Number Information
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NPI Number | 1982620597
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Entity Type | Organization
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Legal Business Name | ANTONY G SANKOORIKAL MD PA
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2655 STATE ROAD 580 SUITE 201
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City | CLEARWATER
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State | FL
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Zip | 33761-3167
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Country | US
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Telephone | 727-797-7410
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Fax | 727-797-7411
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Provider Business Mailing Address
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Address Line | 2655 STATE ROAD 580 SUITE 201
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City | CLEARWATER
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State | FL
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Zip | 33761-3167
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Country | US
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Telephone | 727-797-7410
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Fax | 727-797-7411
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ANTONY G SANKOORIKAL
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Credential | MD
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Telephone | 727-797-7410
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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 | ME0062422
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License Number State | FL
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