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General NPI Number Information
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NPI Number | 1265636203
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Entity Type | Individual
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Provider Name | ELIZABETH HELEN SANDEL DO
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 09/22/2024
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Provider Practice Location Address
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Address Line | 3991 NY-2 STE 15
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City | CROPSEYVILLE
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State | NY
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Zip | 12052-2933
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Country | US
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Telephone | 518-631-5479
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Fax | 833-973-3367
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Provider Business Mailing Address
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Address Line | 4 MARIE HTS
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City | WEST SAND LAKE
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State | NY
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Zip | 12196-1753
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Country | US
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Telephone | 518-268-0881
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Fax | 518-649-4094
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 243490
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License Number State | NY
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