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General NPI Number Information
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NPI Number | 1790747103
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Entity Type | Individual
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Provider Name | GINNETTE SANCHEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 08/09/2009
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Provider Practice Location Address
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Address Line | BO. MONACILLO CARR.22 PASEO DR. JOSE CELSO BARBOSA
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-777-3800
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Fax | 787-777-3705
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Provider Business Mailing Address
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Address Line | 350 VIA AVENTURA APT 6807 ENCANTADA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-6184
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Country | US
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Telephone | 787-243-5200
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Fax | 787-292-4153
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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 | 12248
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License Number State | PR
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