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NPI 1790915064

NPI 1790915064 : RACHAEL N SANCHEZ D.O. : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1790915064
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    Entity Type          |    Individual 
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    Provider Name        |    RACHAEL N SANCHEZ D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2009
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    Last Update Date     |    05/27/2025
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Provider Practice Location Address
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    Address Line         |    800 PRUDENTIAL DR 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32207-8202
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    Country              |    US
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    Telephone            |    904-376-3800
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    Fax                  |    904-390-7398
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Provider Business Mailing Address
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    Address Line         |    PO BOX 748519 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-8519
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    Country              |    US
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    Telephone            |    904-376-3800
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    Fax                  |    904-376-3998
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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       |    OS 10852
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207QA0401X
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    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
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    License Number       |    OS10852
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    License Number State |    FL
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