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General NPI Number Information
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NPI Number | 1134714504
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Entity Type | Organization
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Legal Business Name | N.C.S. PA LLC
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Dates
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Enumeration Date | 03/07/2021
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 8500 SW 92ND ST STE B-201
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City | MIAMI
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State | FL
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Zip | 33156-7390
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Country | US
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Telephone | 786-703-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 11920 W RIDGEVIEW DR
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City | DAVIE
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State | FL
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Zip | 33330-1934
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Country | US
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Telephone | 786-797-3419
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | NATALIE CHRISTINE SANCHEZ
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Credential | PA-C
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Telephone | 786-797-3419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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