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General NPI Number Information
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NPI Number | 1235856972
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Entity Type | Individual
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Provider Name | SANDRA MARILU SANCHEZ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 7823 SPIVEY STATION BLVD STE 310
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City | JONESBORO
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State | GA
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Zip | 30236-2886
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Country | US
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Telephone | 770-996-1122
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Fax | 770-907-1429
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Provider Business Mailing Address
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Address Line | 1000 JOHNSON FERRY RD ATTN MANAGED CARE 10-905
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 770-996-1122
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Fax | 770-907-1429
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP241680
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License Number State | GA
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