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General NPI Number Information
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NPI Number | 1295611325
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Entity Type | Individual
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Provider Name | JESSICA SANCHEZ PHD, LMSW, MED
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 232 SW JOHNSON AVE
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City | BURLESON
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State | TX
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Zip | 76028-4776
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Country | US
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Telephone | 214-466-2918
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 MARKET CENTER BLVD APT 1404
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City | DALLAS
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State | TX
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Zip | 75207-3462
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Country | US
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Telephone | 402-440-8090
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 107660
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License Number State | TX
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