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General NPI Number Information
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NPI Number | 1811005663
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Entity Type | Individual
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Provider Name | CURTIS WILLIAM SANDAHL DDS
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 500 E ESPLANADE DR STE 1280
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City | OXNARD
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State | CA
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Zip | 93036-2110
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Country | US
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Telephone | 805-485-5331
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Fax | 805-485-5330
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Provider Business Mailing Address
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Address Line | 500 ESPLANADE DR STE 1280
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City | OXNARD
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State | CA
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Zip | 93036
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Country | US
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Telephone | 805-485-5331
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Fax | 805-485-5330
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 35986
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License Number State | CA
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