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General NPI Number Information
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NPI Number | 1316911282
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Entity Type | Individual
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Provider Name | JOSE R SANCHEZ-PENA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 583 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07514-2517
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Country | US
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Telephone | 973-653-5686
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Fax | 201-221-8255
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Provider Business Mailing Address
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Address Line | 95 CRESCENT DR
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City | RINGWOOD
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State | NJ
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Zip | 07456-1108
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Country | US
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Telephone | 973-278-8818
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Fax | 201-221-8255
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 42837
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 42837
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 42837
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 42837
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License Number State | NJ
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