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General NPI Number Information
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NPI Number | 1396012183
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Entity Type | Individual
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Provider Name | JESUS SANCHEZ PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 357 MCCASLIN BLVD STE 200
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City | LOUISVILLE
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State | CO
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Zip | 80027-2932
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Country | US
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Telephone | 720-360-1801
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Fax | 888-971-4178
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Provider Business Mailing Address
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Address Line | PO BOX 270946
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City | LOUISVILLE
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State | CO
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Zip | 80027-5016
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Country | US
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Telephone | 720-360-1801
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Fax | 888-971-4178
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1935
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License Number State | CO
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