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General NPI Number Information
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NPI Number | 1144791278
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Entity Type | Individual
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Provider Name | ERICA M. SANCHEZ ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | READING MEMORIAL HIGH SCHOOL 62 OAKLAND RD
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City | READING
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State | MA
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Zip | 01867
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Country | US
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Telephone | 781-944-8200
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Fax | 781-942-5413
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Provider Business Mailing Address
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Address Line | 42 FRONT ST
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City | BEVERLY
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State | MA
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Zip | 01915-5035
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Country | US
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Telephone | 207-831-9365
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1635
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License Number State | MA
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