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General NPI Number Information
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NPI Number | 1003602418
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Entity Type | Organization
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Legal Business Name | SIBELIUS PLLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 5545 N WICKHAM RD STE 110
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City | MELBOURNE
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State | FL
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Zip | 32940-7323
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Country | US
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Telephone | 321-779-9838
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Fax | 321-779-4502
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Provider Business Mailing Address
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Address Line | 1175 HIGHWAY A1A APT 508
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-2422
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Country | US
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Telephone | 321-290-0727
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Fax | 321-779-4502
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Authorized Official
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Title or Position | OWNER
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Name | ZAHRA YAGHOOTI MCTAMMANY
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Credential | MD
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Telephone | 321-290-0727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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