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General NPI Number Information
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NPI Number | 1164473013
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Entity Type | Individual
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Provider Name | TIMOTHY CLAIR SANFORD D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2830 W NORTHERN AVE
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City | PHOENIX
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State | AZ
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Zip | 85051-6626
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Country | US
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Telephone | 602-995-3755
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Fax | 602-995-3759
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Provider Business Mailing Address
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Address Line | 5521 W CINNABAR AVE
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City | GLENDALE
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State | AZ
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Zip | 85302-2107
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Country | US
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Telephone | 623-444-9339
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7692
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License Number State | AZ
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