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General NPI Number Information
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NPI Number | 1881736635
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Entity Type | Individual
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Provider Name | RICHARD STEPHEN SANDOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 22011 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1646
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Country | US
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Telephone | 818-916-6869
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Fax | 818-235-0100
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Provider Business Mailing Address
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Address Line | 2546 ARMSTRONG AVE
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City | LOS ANGELES
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State | CA
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Zip | 90039-2634
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Country | US
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Telephone | 310-386-7822
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | G24749
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License Number State | CA
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