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General NPI Number Information
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NPI Number | 1477525970
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Entity Type | Individual
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Provider Name | STEPHEN E SANDWELL MD
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 201 GOVERNORS DR SW FL 1
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-533-1600
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Fax | 256-539-0856
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Provider Business Mailing Address
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Address Line | 201 GOVERNORS DR SW FL 1
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5171
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Country | US
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Telephone | 256-533-1600
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Fax | 565-390-8562
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA722
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 281802-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 37118
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License Number State | AL
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