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General NPI Number Information
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NPI Number | 1336206788
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Entity Type | Individual
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Provider Name | JOSE DAVID SANCHEZ DDS
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 20370 W VALLEY BLVD
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City | TEHACHAPI
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State | CA
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Zip | 93561-8615
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Country | US
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Telephone | 661-822-3727
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Fax | 661-822-4529
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Provider Business Mailing Address
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Address Line | 20370 W VALLEY BLVD
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City | TEHACHAPI
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State | CA
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Zip | 93561-8615
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Country | US
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Telephone | 661-822-3727
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Fax | 661-822-4529
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 25836
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 25836
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License Number State | CA
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