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General NPI Number Information
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NPI Number | 1386315075
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Entity Type | Individual
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Provider Name | MONICA SANCHEZ IDHS
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 14750 NW 44TH CT
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City | OPA LOCKA
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State | FL
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Zip | 33054-2304
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Country | US
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Telephone | 209-631-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 18199 SW 3RD ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4349
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Country | US
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Telephone |
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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License Number State |
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