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General NPI Number Information
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NPI Number | 1598176281
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Entity Type | Organization
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Legal Business Name | SANFORD M. CHESLER, DPM,PC
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 2120 N 124TH DR
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City | AVONDALE
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State | AZ
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Zip | 85392-6516
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Country | US
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Telephone | 623-521-8110
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Fax | 623-935-6911
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Provider Business Mailing Address
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Address Line | 2120 N 124TH DR
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City | AVONDALE
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State | AZ
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Zip | 85392-6516
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Country | US
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Telephone | 623-521-8110
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Fax | 623-935-6911
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. SANFORD MARTIN CHESLER
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Credential | DPM
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Telephone | 623-521-8110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 00145
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License Number State | AZ
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