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General NPI Number Information
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NPI Number | 1528091600
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Entity Type | Organization
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Legal Business Name | SANDRA WINDSOR DDS INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1622 S POST RD
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City | MIDWEST CITY
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State | OK
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Zip | 73130
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Country | US
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Telephone | 405-741-9000
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Fax | 405-741-9003
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Provider Business Mailing Address
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Address Line | 1622 S POST RD
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City | MIDWEST CITY
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State | OK
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Zip | 73130
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Country | US
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Telephone | 405-741-9000
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Fax | 405-741-9003
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | SANDRA SUE WINDSOR
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Credential | DDS
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Telephone | 405-741-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5040
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License Number State | OK
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