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General NPI Number Information
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NPI Number | 1053825851
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Entity Type | Individual
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Provider Name | SHANNA SADEH LICENSED PSYCH.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 6904 HICKORY VIEW LN
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2533
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Country | US
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Telephone | 612-850-6141
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Fax |
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Provider Business Mailing Address
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Address Line | 6904 HICKORY VIEW LN
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2533
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Country | US
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Telephone | 612-850-6141
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4873
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License Number State | AZ
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