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General NPI Number Information
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NPI Number | 1083024137
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Entity Type | Organization
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Legal Business Name | JO AN SANCHEZ CSP
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | PLAZA NORESTE SHOPPING CENTER 22 URB VILLAS DE LOIZA
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City | LOIZA
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State | PR
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Zip | 00772
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Country | US
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Telephone | 787-256-0225
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Fax | 787-876-2855
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Provider Business Mailing Address
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Address Line | PLAZA NORESTE SHOPPING CENTER SUITE 22 URB VILLAS DE LOIZA
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City | LOIZA
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State | PR
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Zip | 00772
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Country | US
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Telephone | 787-256-0225
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Fax | 787-876-2855
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Authorized Official
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Title or Position | PRESIDENTE/TESORERO
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Name | DR. JO AN SANCHEZ
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Credential |
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Telephone | 787-505-3903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2403
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License Number State | PR
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