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General NPI Number Information
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NPI Number | 1699760637
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Entity Type | Individual
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Provider Name | SANDRA M. CIFOR DO
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Gender | Female
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 7008 AUGUSTA NATIONAL
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City | FAYETTEVILLE
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State | PA
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Zip | 17222-9418
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Country | US
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Telephone | 301-730-4212
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Fax |
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Provider Business Mailing Address
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Address Line | 7008 AUGUSTA NATIONAL
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City | FAYETTEVILLE
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State | PA
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Zip | 17222-9418
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H39929
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | OS007769L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS007769L
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License Number State | PA
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