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General NPI Number Information
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NPI Number | 1497403216
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Entity Type | Individual
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Provider Name | CRISTINA MAE SANCHEZ PTA
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Gender | Female
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 81 FORT SALONGA RD STE C
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City | NORTHPORT
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State | NY
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Zip | 11768-2889
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Country | US
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Telephone | 631-380-3820
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Fax |
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Provider Business Mailing Address
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Address Line | 7 GLEN HOLLOW DR APT B44
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City | HOLTSVILLE
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State | NY
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Zip | 11742-2449
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Country | US
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Telephone | 714-609-3479
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 012602
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License Number State | NY
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