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General NPI Number Information
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NPI Number | 1891507851
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Entity Type | Individual
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Provider Name | STANLEY SANCHEZ
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Gender | Male
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 12510 QUEENS BLVD STE 218
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City | KEW GARDENS
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State | NY
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Zip | 11415-1506
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Country | US
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Telephone | 718-593-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 83RD ST
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City | EAST ELMHURST
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State | NY
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Zip | 11370-2007
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 011275
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License Number State | NY
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