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General NPI Number Information
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NPI Number | 1003089483
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Entity Type | Organization
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Legal Business Name | SANZ & SANZ PSYCHOLOGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 1109 W EUCLID AVE
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City | DELAND
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State | FL
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Zip | 32720-6553
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Country | US
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Telephone | 386-943-9040
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 W EUCLID AVE
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City | DELAND
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State | FL
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Zip | 32720-6553
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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 | PRESIDENT
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Name | DR. ANITA K SANZ
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Credential |
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Telephone | 386-943-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY5640
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License Number State | FL
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