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General NPI Number Information
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NPI Number | 1689851321
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Entity Type | Individual
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Provider Name | GRECIA SANCHEZ BSMT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 894 CALLE 45 SE AVE AMERICO MIRANDA
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City | SAN JUAN
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State | PR
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Zip | 00921-1815
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Country | US
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Telephone | 787-751-7255
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Fax | 787-274-2283
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Provider Business Mailing Address
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Address Line | PO BOX 71325 SUITE 64
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City | SAN JUAN
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State | PR
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Zip | 00936-8425
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Country | US
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Telephone | 787-751-7255
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Fax | 787-274-2283
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 1360
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License Number State | PR
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