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General NPI Number Information
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NPI Number | 1356799456
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Entity Type | Individual
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Provider Name | SANDERS OH MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 8000 5 MILE RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45230-2187
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Country | US
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Telephone | 513-233-6980
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Fax | 513-233-6983
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Provider Business Mailing Address
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Address Line | 121 E FREEDOM WAY UNIT 326
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City | CINCINNATI
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State | OH
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Zip | 45202-3480
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Country | US
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Telephone | 312-351-0696
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 332545
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License Number State | NY
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