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General NPI Number Information
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NPI Number | 1326138421
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Entity Type | Individual
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Provider Name | BERNARDO M. SANCHEZ PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 205 W 20TH ST
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City | LORAIN
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State | OH
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Zip | 44052-3779
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Country | US
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Telephone | 440-244-3833
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Fax | 440-244-5328
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Provider Business Mailing Address
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Address Line | 1535 DEVONSHIRE DR
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City | BRUNSWICK
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State | OH
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Zip | 44212-4403
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Country | US
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Telephone | 440-244-3833
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Fax | 440-244-5328
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT7704
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License Number State | OH
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