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NPI 1376032011

NPI 1376032011 : MICHEL SANABRIA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1376032011
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    Entity Type          |    Individual 
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    Provider Name        |    MICHEL SANABRIA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/08/2018
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    Last Update Date     |    01/17/2023
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Provider Practice Location Address
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    Address Line         |    2911 SW 16TH TER # A 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33145-1957
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    Country              |    US
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    Telephone            |    786-484-5912
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4599 NW 9TH ST APT 58 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33126-2316
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    Country              |    US
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    Telephone            |    786-484-5912
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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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       |    APRN11023493
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    License Number State |    FL
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