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General NPI Number Information
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NPI Number | 1023143872
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Entity Type | Organization
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Legal Business Name | BARRY SANDERS M.D. AND ASSOCIATESS
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 560 W MAIN ST SUITE 106
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City | LEWISVILLE
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State | TX
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Zip | 75057-3629
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Country | US
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Telephone | 972-420-8800
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Fax | 972-420-8888
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Provider Business Mailing Address
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Address Line | 560 W MAIN ST SUITE 106
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City | LEWISVILLE
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State | TX
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Zip | 75057-3629
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Country | US
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Telephone | 972-420-8800
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Fax | 972-420-8888
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY SANDERS
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Credential | M.D.
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Telephone | 972-420-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | F2434
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License Number State | TX
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