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General NPI Number Information
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NPI Number | 1215379516
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Entity Type | Individual
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Provider Name | RICARDO ARTURO SANCHEZ
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Gender | Male
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Dates
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Enumeration Date | 07/27/2013
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Last Update Date | 07/27/2013
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Provider Practice Location Address
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Address Line | 315 N LAKEMONT AVE SUITE 8
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City | WINTER PARK
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State | FL
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Zip | 32792-3205
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Country | US
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Telephone | 407-830-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 S CONWAY RD APT 139
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City | ORLANDO
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State | FL
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Zip | 32812-9129
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Country | US
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Telephone |
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State | FL
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