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General NPI Number Information
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NPI Number | 1538271135
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Entity Type | Individual
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Provider Name | GEETA SANDHU M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 801 W 8TH ST
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City | COFFEYVILLE
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State | KS
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Zip | 67337-4109
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Country | US
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Telephone | 620-251-4300
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Fax | 620-251-4979
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Provider Business Mailing Address
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Address Line | 3011 N MICHIGAN ST
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City | PITTSBURG
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State | KS
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Zip | 66762-2546
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Country | US
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Telephone | 620-231-9873
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Fax | 620-231-5062
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-16357
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License Number State | KS
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