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General NPI Number Information
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NPI Number | 1679522254
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Entity Type | Individual
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Provider Name | TIMOTHY VAUGHN SANDELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 6025 DELMONICO DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2251
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Country | US
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Telephone | 719-634-7246
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Fax | 855-592-2816
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Provider Business Mailing Address
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Address Line | 7951 SHOAL CREEK BLVD STE 300
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City | AUSTIN
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State | TX
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Zip | 78757-7582
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Country | US
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Telephone | 512-584-8404
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Fax | 737-377-0442
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 34408
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License Number State | CO
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