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General NPI Number Information
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NPI Number | 1124484316
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Entity Type | Individual
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Provider Name | SANDRA SUN APRN
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Gender | Female
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 02/16/2025
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Provider Practice Location Address
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Address Line | 1511 TRUMAN AVE
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City | KEY WEST
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State | FL
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Zip | 33040-7252
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Country | US
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Telephone | 305-791-3003
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Fax | 305-294-8388
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Provider Business Mailing Address
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Address Line | 1308 PETRONIA ST
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City | KEY WEST
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State | FL
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Zip | 33040-7235
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Country | US
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Telephone | 305-393-9414
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9338059
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9338059
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License Number State | FL
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