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General NPI Number Information
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NPI Number | 1366920258
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Entity Type | Individual
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Provider Name | ADAM SANCHEZ FNP-C
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Gender | Male
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 320 SE BAKER ST
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City | MCMINNVILLE
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State | OR
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Zip | 97128-6038
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Country | US
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Telephone | 503-474-3600
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Fax | 503-474-3601
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Provider Business Mailing Address
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Address Line | 2045 GREENWOOD RD S
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City | INDEPENDENCE
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State | OR
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Zip | 97351-9696
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Country | US
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Telephone | 503-838-0120
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201805971NP
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License Number State | OR
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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 | 201805971NP-PP
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License Number State | OR
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