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General NPI Number Information
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NPI Number | 1316269376
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Entity Type | Individual
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Provider Name | JUAN L. SANCHEZ BS
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Gender | Male
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 2400 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33175-6311
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Country | US
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Telephone | 305-456-0572
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Fax | 786-980-5700
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Provider Business Mailing Address
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Address Line | 15411 SW 36TH TER
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City | MIAMI
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State | FL
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Zip | 33185-4788
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Country | US
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Telephone | 786-424-0606
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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 | CBHCMS100100
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License Number State | FL
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