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General NPI Number Information
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NPI Number | 1417017674
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Entity Type | Organization
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Legal Business Name | DAVID J. SANDS, DPM, PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 560 NORTHERN BLVD SUITE 210
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City | GREAT NECK
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State | NY
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Zip | 11021-5100
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Country | US
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Telephone | 516-482-8826
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Fax | 516-482-8828
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Provider Business Mailing Address
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Address Line | 560 NORTHERN BLVD SUITE 210
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City | GREAT NECK
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State | NY
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Zip | 11021-5100
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Country | US
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Telephone | 516-482-8826
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Fax | 516-482-8828
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. DAVID J SANDS
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Credential | DPM
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Telephone | 516-482-8826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 005419
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License Number State | NY
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