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General NPI Number Information
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NPI Number | 1568371243
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Entity Type | Individual
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Provider Name | JAMES WILLIAM SANFORD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 1951 51ST ST NE # 1
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City | CEDAR RAPIDS
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State | IA
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Zip | 52402-2466
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Country | US
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Telephone | 319-214-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 PARK TOWNE PL NE APT 10
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City | CEDAR RAPIDS
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State | IA
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Zip | 52402-6431
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Country | US
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Telephone | 319-538-1642
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 138684
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License Number State | IA
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