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General NPI Number Information
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NPI Number | 1053058834
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Entity Type | Individual
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Provider Name | ANDREW JAMES SANCHEZ
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Gender | Male
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 25800 KUYKENDAHL RD
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City | TOMBALL
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State | TX
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Zip | 77375-2892
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Country | US
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Telephone | 832-761-8483
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Fax |
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Provider Business Mailing Address
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Address Line | 2951 N LOOP 336 W APT 136
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City | CONROE
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State | TX
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Zip | 77304-3646
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Country | US
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Telephone | 832-948-2745
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 319228
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License Number State | TX
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