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General NPI Number Information
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NPI Number | 1073727798
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Entity Type | Individual
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Provider Name | JENNIFER SANDADI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 525 E 68TH ST ROOM M324
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-2962
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Fax |
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Provider Business Mailing Address
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Address Line | 575 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10022-6102
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Country | US
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Telephone | 212-746-2962
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME120349
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57.011578
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License Number State | OH
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