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General NPI Number Information
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NPI Number | 1790211266
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Entity Type | Individual
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Provider Name | SHANNON SANCHEZ OVIEDO MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 7800 SW 57TH AVE STE 217
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5523
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Country | US
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Telephone | 786-850-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 7800 SW 57TH AVE STE 217
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5523
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Country | US
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Telephone | 786-850-4818
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME146969
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License Number State | FL
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