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General NPI Number Information
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NPI Number | 1306438809
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Entity Type | Individual
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Provider Name | ABRAHAM SANCHEZ
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Gender | Male
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 811 E LAMBERT RD
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City | LA HABRA
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State | CA
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Zip | 90631-6143
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Country | US
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Telephone | 714-612-4162
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 YORBA LINDA BLVD APT 116
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City | FULLERTON
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State | CA
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Zip | 92831-1740
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Country | US
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Telephone | 903-609-6010
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT299745
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License Number State | CA
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