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General NPI Number Information
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NPI Number | 1831625250
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Entity Type | Individual
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Provider Name | MADELIN SAA SANCHEZ PTA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3143 NE 163RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-4463
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Country | US
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Telephone | 305-343-1365
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Fax | 305-705-2907
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Provider Business Mailing Address
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Address Line | 140 S DIXIE HWY APT 623
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City | HOLLYWOOD
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State | FL
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Zip | 33020-7321
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Country | US
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Telephone | 305-244-7448
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA26980
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License Number State | FL
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