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General NPI Number Information
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NPI Number | 1093555062
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Entity Type | Organization
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Legal Business Name | SENSHINE HEALTH PLLC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 2121 S HIAWASSEE RD STE 116-97
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City | ORLANDO
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State | FL
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Zip | 32835-8762
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Country | US
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Telephone | 651-283-8375
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 S HIAWASSEE RD STE 116-97
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City | ORLANDO
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State | FL
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Zip | 32835-8762
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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 | MANAGER
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Name | JODENE JENSEN
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Credential |
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Telephone | 651-283-8375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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