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General NPI Number Information
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NPI Number | 1023335197
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Entity Type | Individual
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Provider Name | MYRTA L SANCHEZ
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Gender | Female
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | AVE BAIROA CALLE STA MARIA M 3 BAIROA
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-647-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 158 CALLE CUNDIAMOR CIUDAD JARDIN
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City | GURABO
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State | PR
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Zip | 00778-9672
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Country | US
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Telephone | 787-647-1350
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1948700
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License Number State | PR
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