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General NPI Number Information
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NPI Number | 1487713707
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Entity Type | Individual
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Provider Name | DEREK EDWARD SANCHEZ LPT
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 790 ROY RICHARD DR STE E
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City | SCHERTZ
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State | TX
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Zip | 78154-2039
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Country | US
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Telephone | 210-659-4333
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Fax | 210-659-0809
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Provider Business Mailing Address
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Address Line | 4721 GREEN BLUFF DR
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City | SCHERTZ
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State | TX
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Zip | 78154-3043
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Country | US
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Telephone | 210-269-3627
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Fax | 210-659-0809
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1163910
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License Number State | TX
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