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NPI Code Detail

MEDICARE: DEBORAH MARY SANDERSON

MEDICARE: DEBORAH MARY SANDERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse548393-1NY

General Provider Information

NPI Number : 1083998199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH MARY SANDERSON
Provider Business Mailing Address
First Line : PO BOX E
Second Line :
City : LIVONIA
State : NY
Zip : 14487-0489
Country : US
Telephone Number : 585-346-4000
Fax Number : 585-346-4053
Provider Business Practice Location Address
First Line : PO BOX E
Second Line :
City : LIVONIA
State : NY
Zip : 14487-0489
Country : US
Telephone Number : 585-346-4000
Fax Number : 585-346-4053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2011
Last Update Date : 10/07/2011

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14487-0489
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1891117073 — MRS. LORI ALLEN R.N
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Directions to “ DEBORAH MARY SANDERSON ” Practice Location

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