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General NPI Number Information
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NPI Number | 1134081748
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Entity Type | Organization
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Legal Business Name | MARTHA SANFORD
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4100 AUSTIN PEAY HWY
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City | MEMPHIS
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State | TN
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Zip | 38128-2502
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Country | US
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Telephone | 901-213-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 76 OKEECHOBEE CIR
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-8798
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MARTHA SANFORD
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Credential | MD
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Telephone | 901-844-1435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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