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General NPI Number Information
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NPI Number | 1619629631
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Entity Type | Individual
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Provider Name | VANESSA D SANCHEZ APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 2305 S. KANSAS AVENUE, SUITE 104
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City | NEWTON
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State | KS
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Zip | 67114
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Country | US
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Telephone | 316-323-1530
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Fax | 316-323-1536
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Provider Business Mailing Address
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Address Line | 425 WHEATRIDGE CT
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City | NEWTON
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State | KS
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Zip | 67114-9023
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Country | US
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Telephone | 316-727-6462
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Fax | 316-323-1536
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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 | 53-80559-121
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License Number State | KS
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