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General NPI Number Information
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NPI Number | 1235132606
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Entity Type | Individual
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Provider Name | STANLEY P. SADY M.D. , PHD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 4150 V ST PSSB SUITE 1200
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City | SACRAMENTO
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State | CA
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Zip | 95817-1460
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Country | US
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Telephone | 916-734-7985
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Fax | 916-734-2975
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Provider Business Mailing Address
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Address Line | 1400 E BOULDER ST PSSB SUITE 1200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-6999
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0057730
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License Number State | CO
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