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NPI 1033653589

NPI 1033653589 : OLIVIER SANCHEZ LMT : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1033653589
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    Entity Type          |    Individual 
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    Provider Name        |    OLIVIER SANCHEZ LMT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/16/2016
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    Last Update Date     |    12/16/2016
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Provider Practice Location Address
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    Address Line         |    1054 THOMAS JEFFERSON ST NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20007-3813
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    Country              |    US
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    Telephone            |    202-333-3334
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1011 ARLINGTON BLVD APT 1033
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22209-2283
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    Country              |    US
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    Telephone            |    
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MT1314
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    License Number State |    DC
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