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General NPI Number Information
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NPI Number | 1013083260
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Entity Type | Organization
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Legal Business Name | ROGELIO A. SANCHEZ, MD, CO, PC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 960 W WOOSTER ST 106
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2644
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Country | US
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Telephone | 419-352-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 960 W WOOSTER ST 106
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2644
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Country | US
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Telephone | 419-352-1440
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Fax |
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Authorized Official
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Title or Position | PERSIDENT
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Name | ROGELIO A SANCHEZ
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Credential | MD
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Telephone | 419-352-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35-035363
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License Number State | OH
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