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General NPI Number Information
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NPI Number | 1417562828
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Entity Type | Individual
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Provider Name | RICARDO ANGEL SANCHEZ
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Gender | Male
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 976 N PACIFIC HWY
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City | WOODBURN
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State | OR
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Zip | 97071-3731
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Country | US
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Telephone | 503-981-5851
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Fax | 503-566-2977
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Provider Business Mailing Address
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Address Line | 1406 NATALIE CT
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City | MONMOUTH
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State | OR
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Zip | 97361-9105
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Country | US
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Telephone | 503-983-1127
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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