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General NPI Number Information
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NPI Number | 1861751117
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Entity Type | Individual
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Provider Name | EDWARD JOHN SANCHEZ JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 18980 W MEMORIAL DR STE 440
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City | HUMBLE
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State | TX
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Zip | 77338-4559
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Country | US
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Telephone | 832-616-5190
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Fax | 832-319-4693
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-2987
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BP10043030
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | R2728
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License Number State | TX
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