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General NPI Number Information
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NPI Number | 1932568896
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Entity Type | Individual
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Provider Name | JENNIFER CRYSTAL SANCHEZ
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Gender | Female
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Dates
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Enumeration Date | 02/19/2016
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 9265 SKY PARK CT STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92123-4375
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Country | US
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Telephone | 844-737-3638
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Fax | 619-403-9496
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Provider Business Mailing Address
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Address Line | 200 PINE AVE STE 400
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City | LONG BEACH
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State | CA
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Zip | 90802-3039
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Country | US
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Telephone | 714-904-4097
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW85175
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW122958
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License Number State | CA
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