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General NPI Number Information
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NPI Number | 1750477972
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Entity Type | Individual
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Provider Name | GERALD ALAN SANDLER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1730 PLYMOUTH RD STE 204
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City | MINNETONKA
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State | MN
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Zip | 55305-1961
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Country | US
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Telephone | 952-541-1135
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Fax | 952-545-1811
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Provider Business Mailing Address
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Address Line | 225 SUMTER AVE S
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City | GOLDEN VALLEY
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State | MN
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Zip | 55426-1413
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Country | US
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Telephone | 763-541-9346
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Fax | 952-545-1811
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8977
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License Number State | MN
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