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General NPI Number Information
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NPI Number | 1790816916
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Entity Type | Individual
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Provider Name | HILARY A. SANFEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 747 N RUTLEDGE ST 5TH FLOOR
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City | SPRINGFIELD
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State | IL
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Zip | 62702-6700
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Country | US
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Telephone | 217-545-5878
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Fax | 217-545-1159
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Provider Business Mailing Address
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Address Line | PO BOX 19639
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9639
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Country | US
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Telephone | 217-545-7578
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Fax | 217-545-1884
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 113-000053
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 113-00053
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License Number State | IL
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