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General NPI Number Information
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NPI Number | 1881218261
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Entity Type | Organization
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Legal Business Name | JOHN SANDER PLLC
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 2727 BRYANT ST
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City | DENVER
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State | CO
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Zip | 80211-4130
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Country | US
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Telephone | 303-859-0424
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 QUITMAN ST
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City | DENVER
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State | CO
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Zip | 80212-2128
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Country | US
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Telephone | 303-859-0424
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN SANDER
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Credential |
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Telephone | 303-859-0424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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