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General NPI Number Information
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NPI Number | 1588235139
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Entity Type | Individual
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Provider Name | JESSICA M SANCHEZ NP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST STE 635E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5994
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Country | US
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Telephone | 310-248-8245
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Fax | 310-248-8249
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Provider Business Mailing Address
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Address Line | 4140 W 190TH ST
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City | TORRANCE
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State | CA
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Zip | 90504-5513
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Country | US
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Telephone | 310-248-8245
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Fax | 310-248-8249
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 95137659
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP9501889
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95018889
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License Number State | CA
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