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NPI 1386694453

NPI 1386694453 : ANN MARGARET SANDIN MD : CAMBRIDGE, MA

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General NPI Number Information
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    NPI Number           |    1386694453
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    Entity Type          |    Individual 
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    Provider Name        |    ANN MARGARET SANDIN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    725 CONCORD AVE SUITE 2000
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    City                 |    CAMBRIDGE
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    State                |    MA
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    Zip                  |    02138-1040
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    Country              |    US
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    Telephone            |    617-661-4600
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    Fax                  |    617-547-9170
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Provider Business Mailing Address
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    Address Line         |    PO BOX 419 
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    City                 |    LYNNFIELD
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    State                |    MA
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    Zip                  |    01940-0419
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    Country              |    US
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    Telephone            |    978-658-5577
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    Fax                  |    978-658-5587
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    157030
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    License Number State |    MA
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