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NPI 1558976548

NPI 1558976548 : JOSEPH MARCOS SANCHEZ JR. OTR/L, OTD : YUMA, AZ

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General NPI Number Information
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    NPI Number           |    1558976548
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH MARCOS SANCHEZ JR. OTR/L, OTD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/15/2020
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    Last Update Date     |    09/15/2020
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Provider Practice Location Address
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    Address Line         |    450 W 6TH ST 
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    City                 |    YUMA
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    State                |    AZ
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    Zip                  |    85364-2973
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    Country              |    US
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    Telephone            |    928-502-7753
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    450 W 6TH ST 
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    City                 |    YUMA
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    State                |    AZ
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    Zip                  |    85364-2973
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    Country              |    US
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    Telephone            |    
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    7843
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    License Number State |    AZ
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