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General NPI Number Information
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NPI Number | 1700397551
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Entity Type | Individual
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Provider Name | JACQUELINE YVETTE SANCHEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 4401 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-6946
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Country | US
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Telephone | 407-617-3217
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Fax |
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Provider Business Mailing Address
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Address Line | 1552 ORTEGA AVE
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City | DELTONA
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State | FL
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Zip | 32738-4902
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Country | US
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Telephone | 386-626-4656
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN3215734
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License Number State | FL
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