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General NPI Number Information
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NPI Number | 1043443328
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Entity Type | Organization
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Legal Business Name | SANCHEZ CHIROPRACTIC CENTER, P.C.
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 2009 CONSTITUTION DR
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City | IUKA
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State | MS
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Zip | 38852-8457
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Country | US
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Telephone | 662-423-9315
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Fax | 662-423-9359
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Provider Business Mailing Address
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Address Line | PO BOX 366 2009 CONSTITUTION DRIVE
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City | IUKA
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State | MS
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Zip | 38852-0366
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Country | US
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Telephone | 662-423-9315
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Fax | 662-423-9359
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Authorized Official
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Title or Position | DR.
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Name | DR. KIMBERLY N SANCHEZ
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Credential | D.C.
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Telephone | 662-423-9315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1054
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License Number State | MS
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