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General NPI Number Information
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NPI Number | 1518462928
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Entity Type | Individual
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Provider Name | KIMBERLY SANDERS MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 805 WELLS RD STE 200
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City | ORANGE PARK
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State | FL
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Zip | 32073-2301
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Country | US
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Telephone | 904-398-7205
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 BELFORT RD
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6004
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Country | US
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Telephone |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME166834
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License Number State | FL
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