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General NPI Number Information
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NPI Number | 1033465695
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Entity Type | Individual
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Provider Name | KRISTIAN LASZLO SANDOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 1314 BEDFORD AVE
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City | PIKESVILLE
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State | MD
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Zip | 21208
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Country | US
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Telephone | 610-400-4253
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Fax |
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Provider Business Mailing Address
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Address Line | 3119 ROBERTS LNDG
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City | FINKSBURG
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State | MD
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Zip | 21048-1352
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Country | US
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Telephone | 610-400-4253
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D78799
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT202981
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D0078799
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License Number State | MD
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