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General NPI Number Information
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NPI Number | 1790970788
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Entity Type | Individual
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Provider Name | NOLBERTO SANCHEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 2928 DANIELS ST
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City | MARIANNA
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State | FL
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Zip | 32446
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Country | US
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Telephone | 850-526-3555
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Fax | 850-526-3570
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Provider Business Mailing Address
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Address Line | 2928 DANIELS STREET
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City | MARIANNA
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State | FL
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Zip | 32446
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Country | US
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Telephone | 850-526-3555
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Fax | 850-526-3570
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN371
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 018044
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 07-164
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME136720
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License Number State | FL
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