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General NPI Number Information
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NPI Number | 1801803853
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Entity Type | Individual
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Provider Name | JOHN CARL SANDERS MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 933 BRADBURY DR SE STE 2222
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4375
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Country | US
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Telephone | 505-272-1111
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Fax |
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Provider Business Mailing Address
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Address Line | SHRINERS HOSPITALS FOR CHILDREN SALT DEPT 5034
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City | LOS ANGELES
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State | CA
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Zip | 90084-0001
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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 | 2000-101
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License Number State | NM
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