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General NPI Number Information
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NPI Number | 1952954539
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Entity Type | Individual
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Provider Name | JUAN EDUARDO SANCHEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 201 N PARK AVE STE 206
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City | APOPKA
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State | FL
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Zip | 32703-4147
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Country | US
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Telephone | 407-515-2290
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Fax | 407-703-4574
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Provider Business Mailing Address
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Address Line | 2180 W SR 434 STE 1164
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City | LONGWOOD
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State | FL
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Zip | 32779-5008
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Country | US
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Telephone | 407-515-2211
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Fax | 407-309-5412
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME168995
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License Number State | FL
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