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General NPI Number Information
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NPI Number | 1003971219
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Entity Type | Individual
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Provider Name | MARY ELIZABETH SANDERS D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2812 W COLORADO AVE SUITE 104
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-2470
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Country | US
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Telephone | 719-475-2455
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Fax | 719-475-2254
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Provider Business Mailing Address
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Address Line | 9530 MOUNTAIN RD
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City | CASCADE
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State | CO
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Zip | 80809-1524
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Country | US
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Telephone | 719-684-2503
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3993
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License Number State | CO
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