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General NPI Number Information
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NPI Number | 1114521218
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Entity Type | Individual
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Provider Name | EMILY ANNE SANDS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 101 E PARK DR
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City | ALBION
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State | IN
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Zip | 46701-1438
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Country | US
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Telephone | 574-385-3129
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Fax |
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Provider Business Mailing Address
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Address Line | 6119 STELLHORN RD
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City | FORT WAYNE
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State | IN
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Zip | 46815-5357
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Country | US
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Telephone | 260-485-4697
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Fax | 260-247-7172
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26029007A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 28277462A
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License Number State | IN
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