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NPI Code Detail

MEDICARE: SANGAM STANCZAK

MEDICARE: SANGAM STANCZAK
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
1104100000XSocial Worker7171769ID

General Provider Information

NPI Number : 1649063207
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANGAM STANCZAK
Provider Business Mailing Address
First Line : 413 W IDAHO ST STE 302
Second Line :
City : BOISE
State : ID
Zip : 83702-6066
Country : US
Telephone Number : 626-319-8906
Fax Number :
Provider Business Practice Location Address
First Line : 413 W IDAHO ST STE 302
Second Line :
City : BOISE
State : ID
Zip : 83702-6066
Country : US
Telephone Number : 626-319-8906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2025
Last Update Date : 05/29/2025

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Directions to “ SANGAM STANCZAK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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