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General NPI Number Information
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NPI Number | 1740542463
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Entity Type | Individual
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Provider Name | CHARLES ANDREW SALES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 9700 N 91ST ST STE A115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5036
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Country | US
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Telephone | 480-227-1158
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 N 91ST ST STE A115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5036
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Country | US
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Telephone | 480-227-1158
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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 | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 61883
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35129128
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD60742150
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 61883
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License Number State | AZ
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