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General NPI Number Information
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NPI Number | 1992701296
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Entity Type | Organization
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Legal Business Name | ANDREW C. SAMBELL M.D.P.A.
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 1626 W HWY 287 BUS STE 103
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City | WAXAHACHIE
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State | TX
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Zip | 75165-4728
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Country | US
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Telephone | 972-938-8526
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Fax | 972-923-0288
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Provider Business Mailing Address
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Address Line | 1626 W HWY 287 BUS. SUITE #103
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City | WAXAHACHIE
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State | TX
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Zip | 75165
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Country | US
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Telephone | 972-938-8526
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Fax | 972-923-0288
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. ANDREW C SAMBELL
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Credential | M.D.
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Telephone | 972-938-8526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J3378
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License Number State | TX
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