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General NPI Number Information
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NPI Number | 1093716425
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Entity Type | Individual
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Provider Name | MICHELLE SANCHO OD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 9400 STATION ST SUITE 150
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City | LONETREE
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State | CO
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Zip | 80124-6808
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Country | US
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Telephone | 303-925-0075
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Fax | 303-925-0079
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Provider Business Mailing Address
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Address Line | 9400 STATION ST SUITE 150
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City | LONETREE
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State | CO
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Zip | 80124-6808
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Country | US
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Telephone | 303-925-0075
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Fax | 303-925-0079
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2040
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 2040
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License Number State | CO
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