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General NPI Number Information
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NPI Number | 1750260253
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Entity Type | Individual
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Provider Name | WILLIAM DOUGLAS SANDS CSCS
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Gender | Male
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2162 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10024-6620
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Country | US
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Telephone | 917-409-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 467 CENTRAL PARK W APT 9E
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City | NEW YORK
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State | NY
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Zip | 10025-3886
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Country | US
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Telephone | 336-408-5713
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 7248072855
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License Number State | NC
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