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General NPI Number Information
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NPI Number | 1194236141
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Entity Type | Organization
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Legal Business Name | ROBERT SANCHEZ CHIROPRACTIC, PC
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 5755 OBERLIN DR STE 301
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City | SAN DIEGO
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State | CA
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Zip | 92121-4717
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Country | US
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Telephone | 858-247-2413
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 FLAGMAN WAY STE B1
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City | SANTA FE
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State | NM
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Zip | 87505-1137
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Country | US
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Telephone | 505-398-0458
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT SANCHEZ
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Credential | DC
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Telephone | 505-398-0458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 33605
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License Number State | CA
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