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General NPI Number Information
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NPI Number | 1093178766
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Entity Type | Individual
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Provider Name | JAIME SANCHEZ AGACNP
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Gender | Male
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 530 N TELSHOR BLVD STE A
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City | LAS CRUCES
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State | NM
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Zip | 88011-8243
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Country | US
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Telephone | 575-303-2929
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2845
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City | LAS CRUCES
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State | NM
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Zip | 88004-2845
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Country | US
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Telephone | 575-303-2929
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP-02883
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP-02883
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License Number State | NM
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