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General NPI Number Information
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NPI Number | 1073754099
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Entity Type | Individual
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Provider Name | TANIA S SALES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 1251 SO. MYRTLE AVE.
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City | CLEARWATER
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State | FL
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Zip | 33756
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Country | US
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Telephone | 727-488-4270
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Fax | 727-466-0478
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Provider Business Mailing Address
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Address Line | 9357 BLIND PASS RD. APT. 402
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City | ST. PETE BEACH
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State | FL
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Zip | 33706
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Country | US
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Telephone | 727-488-4270
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Fax | 727-466-0478
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6679
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License Number State | FL
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