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NPI 1174531883

NPI 1174531883 : DONNA SANDERS D.C. : GALVESTON, TX

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General NPI Number Information
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    NPI Number           |    1174531883
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA SANDERS D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2115 61ST ST #101
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    City                 |    GALVESTON
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    State                |    TX
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    Zip                  |    77551-7406
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    Country              |    US
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    Telephone            |    409-740-7977
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    Fax                  |    409-740-6730
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Provider Business Mailing Address
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    Address Line         |    PO BOX 17049 
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    City                 |    GALVESTON
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    State                |    TX
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    Zip                  |    77552-7049
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    Country              |    US
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    Telephone            |    409-740-7977
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    Fax                  |    409-740-6730
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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       |    5625
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    License Number State |    TX
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