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General NPI Number Information
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NPI Number | 1821185190
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Entity Type | Organization
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Legal Business Name | HANS M SANDER MD PA
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 11410 JOLLYVILLE RD SUITE 2101
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City | AUSTIN
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State | TX
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Zip | 78759-4097
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Country | US
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Telephone | 512-345-8688
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Fax | 512-345-2253
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Provider Business Mailing Address
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Address Line | 11410 JOLLYVILLE RD SUITE 2101
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City | AUSTIN
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State | TX
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Zip | 78759-4097
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Country | US
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Telephone | 512-345-8688
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Fax | 512-345-2253
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. HANS M SANDER
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Credential | M.D., P.A.
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Telephone | 512-345-8688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G5567
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License Number State | TX
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