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General NPI Number Information
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NPI Number | 1801839808
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Entity Type | Individual
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Provider Name | DANIEL KEITH SANFORD MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 333 S 3RD ST
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City | DANVILLE
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State | KY
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Zip | 40422
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Country | US
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Telephone | 859-236-7712
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Fax | 270-858-4607
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | BURKESVILLE
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State | KY
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Zip | 42717-1080
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Country | US
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Telephone | 270-858-6655
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Fax | 270-858-4027
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036108680
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 30958
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 36597
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License Number State | KY
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