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General NPI Number Information
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NPI Number | 1225332943
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Entity Type | Individual
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Provider Name | GERALD B. SANDSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 401 SHADY AVE SUITE A-103
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City | PITTSBURGH
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State | PA
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Zip | 15206-4409
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Country | US
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Telephone | 412-362-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 401 SHADY AVE SUITE A-103
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City | PITTSBURGH
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State | PA
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Zip | 15206-4409
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Country | US
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Telephone | 412-362-4300
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 007640E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 007640E
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License Number State | PA
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