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General NPI Number Information
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NPI Number | 1538767157
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Entity Type | Individual
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Provider Name | LIANNE BLANCO SANCHEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1905 NW 82ND AVE
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City | DORAL
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State | FL
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Zip | 33126-1011
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Country | US
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Telephone | 786-420-5924
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Fax | 757-384-5797
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Provider Business Mailing Address
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Address Line | 1905 NW 82ND AVE
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City | DORAL
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State | FL
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Zip | 33126-1011
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Country | US
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Telephone | 786-420-5924
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Fax | 757-384-5797
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11009713
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2022067946
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License Number State | FL
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