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General NPI Number Information
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NPI Number | 1568242790
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Entity Type | Individual
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Provider Name | KATRINA GIANNA MAALA SANCHEZ FNP-C; FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 31500 W 13 MILE RD STE 100
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2172
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Country | US
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Telephone | 248-509-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 32659 JUDY DR
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City | WESTLAND
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State | MI
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Zip | 48185-1574
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704317166
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License Number State | MI
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