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General NPI Number Information
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NPI Number | 1982757407
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Entity Type | Organization
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Legal Business Name | SANDERS,GARRELS, KESWANI PARTNERSHIP
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 11780 SAN PABLO AVE SUITE B
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City | EL CERRITO
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State | CA
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Zip | 94530-7103
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Country | US
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Telephone | 510-234-1730
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Fax | 510-234-8841
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Provider Business Mailing Address
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Address Line | 11780 SAN PABLO AVE SUITE B
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City | EL CERRITO
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State | CA
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Zip | 94530-7103
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Country | US
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Telephone | 510-234-1730
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Fax | 510-234-8841
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. DANIEL L SANDERS
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Credential | O.D.
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Telephone | 510-234-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | FNP 2141
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License Number State | CA
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