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General NPI Number Information
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NPI Number | 1720685514
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Entity Type | Individual
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Provider Name | ANTONIO JAVIER SANCHEZ GONZALEZ MSN, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 712 BROAD ST
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City | PROVIDENCE
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State | RI
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Zip | 02907-1465
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Country | US
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Telephone | 401-233-5060
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746088
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City | ATLANTA
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State | GA
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Zip | 30374-6088
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Country | US
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Telephone | 773-352-1515
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Fax | 312-929-0373
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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 | 11009494
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN04190
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License Number State | RI
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