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General NPI Number Information
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NPI Number | 1285734756
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Entity Type | Individual
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Provider Name | AIDA M SANCHEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | AVE SEVERIANO CUEVAS #18 AREA OFICINA PRIVADES
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-329-6725
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Fax | 787-819-1012
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Provider Business Mailing Address
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Address Line | P.O. BOX 5000 PMB 697
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-603-1601
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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 | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number | 12553
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 12553
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License Number State | PR
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