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General NPI Number Information
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NPI Number | 1437388022
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Entity Type | Individual
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Provider Name | SANA EHSAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 6467 WOODLANS PKWY
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City | THE WOODLANDS
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State | TX
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Zip | 77381
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Country | US
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Telephone | 713-461-2915
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Fax | 713-474-8131
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Provider Business Mailing Address
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Address Line | 1709 KY ROUTE 321 SUITE 3
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City | PRESTONSBURG
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State | KY
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Zip | 41653-9097
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Country | US
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Telephone | 606-886-8546
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Fax | 606-886-8548
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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 | 45760
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License Number State | KY
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