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General NPI Number Information
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NPI Number | 1740308535
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Entity Type | Individual
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Provider Name | CARLOS J SANCHEZ RODRIGUEZ
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 102 CALLE DIEGO BECERRA
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 939-279-2092
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 2053
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 939-279-2092
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 9122
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License Number State | PR
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