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General NPI Number Information
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NPI Number | 1912245242
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Entity Type | Organization
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Legal Business Name | NATASHA SANDY MD PA
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 8890 CENTRE PARK DR STE 300B
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City | COLUMBIA
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State | MD
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Zip | 21045-2188
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Country | US
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Telephone | 410-696-7553
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Fax | 410-696-7510
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Provider Business Mailing Address
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Address Line | 2710 GOODWOOD RD
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City | BALTIMORE
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State | MD
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Zip | 21214-2109
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Country | US
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Telephone | 443-255-7089
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATASHA A. SANDY
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Credential | M.D.
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Telephone | 443-255-7089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State | MD
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