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General NPI Number Information
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NPI Number | 1255677688
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Entity Type | Organization
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Legal Business Name | MARK S SANDERS MD PA
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 12/05/2013
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Provider Practice Location Address
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Address Line | 4126 SOUTHWEST FWY SUITE 1730
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City | HOUSTON
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State | TX
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Zip | 77027-7310
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Country | US
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Telephone | 713-622-3576
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Fax | 713-622-3615
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Provider Business Mailing Address
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Address Line | PO BOX 27207
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City | HOUSTON
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State | TX
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Zip | 77227-7207
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Country | US
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Telephone | 713-622-3576
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Fax | 713-622-3615
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Authorized Official
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Title or Position | OWNER
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Name | MARK S SANDERS
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Credential | MD PA
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Telephone | 713-622-3576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | H0002
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License Number State | TX
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