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General NPI Number Information
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NPI Number | 1346203254
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Entity Type | Individual
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Provider Name | RUSSELL ALLEN SAUDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 13535 NEMOURS PKWY
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City | ORLANDO
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State | FL
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Zip | 32827-7402
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Country | US
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Telephone | 407-567-4000
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Fax | 407-567-5924
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-8487
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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 | 2005-01332
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | ME137991
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.061593
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License Number State | OH
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