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General NPI Number Information
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NPI Number | 1861894313
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Entity Type | Organization
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Legal Business Name | MATTHEW SANCHEZ FAMILY HEALTH NURSE PRACTITIONER, PLLC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 131 ORISKANY BLVD STE 5
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City | WHITESBORO
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State | NY
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Zip | 13492-1319
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Country | US
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Telephone | 315-507-3332
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Fax | 315-737-6199
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Provider Business Mailing Address
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Address Line | 131 ORISKANY BLVD STE 5
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City | WHITESBORO
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State | NY
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Zip | 13492-1319
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Country | US
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Telephone | 315-507-3332
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Fax | 315-737-6199
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW SANCHEZ
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Credential | NP
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Telephone | 609-668-7847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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