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General NPI Number Information
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NPI Number | 1336649938
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Entity Type | Individual
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Provider Name | JOSE SANCHEZ SOSA APRN
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Gender | Male
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 905 S 8TH ST STE B
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City | DEMING
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State | NM
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Zip | 88030-4037
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Country | US
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Telephone | 575-543-7200
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Fax | 575-544-4897
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Provider Business Mailing Address
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Address Line | 1420 S WHITTIER DR
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City | DEMING
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State | NM
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Zip | 88030-5549
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Country | US
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Telephone | 178-629-6454
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Fax | 575-544-4897
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9479995
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11006080
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 60115
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License Number State | NM
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