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General NPI Number Information
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NPI Number | 1578544151
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Entity Type | Individual
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Provider Name | JORGE A SANCHEZ-CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | SERGIO CUEVAS BUSTAMANTE #517 PARQUE CENTRAL
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-274-0736
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Fax | 787-759-6139
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Provider Business Mailing Address
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Address Line | 5TH ST #I-11 TINTILLO GARDENS
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-775-0380
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 7321
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License Number State | PR
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