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General NPI Number Information
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NPI Number | 1992863740
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Entity Type | Individual
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Provider Name | MARIA CARLOTA SANJORGE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 2560 RCA BLVD STE 113
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3337
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Country | US
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Telephone | 561-626-5790
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Fax | 561-626-6205
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Provider Business Mailing Address
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Address Line | 1070 SIENA OAKS CIR E
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5134
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Country | US
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Telephone | 561-627-1442
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Fax | 561-626-6205
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 49290
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License Number State | FL
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