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General NPI Number Information
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NPI Number | 1952511644
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Entity Type | Individual
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Provider Name | CARSANDRA SANDERS P.A., MPH
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 218 PROSPECT AVE APT 2A
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City | HACKENSACK
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State | NJ
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Zip | 07601-2409
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Country | US
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Telephone | 201-774-7786
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Fax |
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Provider Business Mailing Address
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Address Line | 28 SMITH ST
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City | CLOSTER
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State | NJ
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Zip | 07624-1627
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Country | US
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Telephone | 201-750-0693
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Fax | 201-750-0698
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00009400
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License Number State | NJ
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