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General NPI Number Information
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NPI Number | 1922154061
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Entity Type | Individual
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Provider Name | PATRICIA ANN SANDERS MD
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 1006 LAY DAM RD
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City | CLANTON
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State | AL
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Zip | 35045-2306
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Country | US
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Telephone | 205-280-3360
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Fax |
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Provider Business Mailing Address
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Address Line | 130 INVERNESS PLZ SUITE 115
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City | BIRMINGHAM
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State | AL
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Zip | 35242-4800
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Country | US
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Telephone | 205-786-1160
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 4566
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4566
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License Number State | AL
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