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General NPI Number Information
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NPI Number | 1508932765
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Entity Type | Individual
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Provider Name | SANFORD M COE D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 8127 CULEBRA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1634
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Country | US
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Telephone | 210-684-2313
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Fax |
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Provider Business Mailing Address
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Address Line | 8127 CULEBRA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1634
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Country | US
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Telephone | 210-684-2313
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5398
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 98494
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1990
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License Number State | NM
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