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General NPI Number Information
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NPI Number | 1023354917
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Entity Type | Individual
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Provider Name | ANDREW SANDERS JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/20/2012
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 44045 RIVERSIDE PKWY INOVA LOUDOUN HOSPITAL
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City | LEESBURG
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State | VA
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Zip | 20176-5101
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Country | US
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Telephone | 703-858-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 LAKESIDE PKWY APT 300
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4375
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Country | US
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Telephone | 919-882-0705
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Fax | 919-873-9821
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP136022
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024173169
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License Number State | VA
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