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NPI 1427703347

NPI 1427703347 : WHITNEY SANFORD RDN : COEUR D ALENE, ID

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General NPI Number Information
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    NPI Number           |    1427703347
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    Entity Type          |    Individual 
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    Provider Name        |    WHITNEY SANFORD RDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/18/2022
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    Last Update Date     |    02/27/2026
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Provider Practice Location Address
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    Address Line         |    924 N 17TH ST 
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    City                 |    COEUR D ALENE
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    State                |    ID
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    Zip                  |    83814-5551
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    Country              |    US
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    Telephone            |    208-699-0605
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    Fax                  |    208-601-6123
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1513 
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    City                 |    COEUR D ALENE
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    State                |    ID
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    Zip                  |    83816-1513
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    Country              |    US
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    Telephone            |    208-219-7443
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    Fax                  |    208-601-6123
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    
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    License Number State |    
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