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General NPI Number Information
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NPI Number | 1124177423
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Entity Type | Organization
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Legal Business Name | SANFORD T. WARD, D.O., PROFESSIONAL ASSOCIATIION
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3719 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1329
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Country | US
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Telephone | 806-795-4336
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Fax | 806-785-4309
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Provider Business Mailing Address
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Address Line | 3719 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1329
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Country | US
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Telephone | 806-795-4336
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Fax | 806-785-4309
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANFORD T. WARD
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Credential | D.O.
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Telephone | 806-795-4336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | E2383
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | E2383
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License Number State | TX
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