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General NPI Number Information
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NPI Number | 1487855854
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Entity Type | Individual
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Provider Name | SANDRA SALDANA CERVANTES MD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 424 S 56TH ST STE 110
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City | PHOENIX
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State | AZ
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Zip | 85034-2177
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Country | US
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Telephone | 602-685-5166
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 42210
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City | PHOENIX
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State | AZ
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Zip | 85080-2210
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Country | US
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Telephone | 623-266-7770
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Fax | 608-756-6572
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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 | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 67080-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2014-00637
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 6222
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 73041
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License Number State | AZ
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