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General NPI Number Information
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NPI Number | 1245705243
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Entity Type | Organization
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Legal Business Name | SARANDA, INC.
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Dates
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Enumeration Date | 10/05/2018
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 2710 SWAMP CABBAGE CT
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City | FORT MYERS
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State | FL
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Zip | 33901-9333
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Country | US
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Telephone | 239-666-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 SWAMP CABBAGE CT
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City | FORT MYERS
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State | FL
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Zip | 33901-9333
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Country | US
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Telephone | 239-666-4545
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MICHELLE A CAVALIERE
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Credential | PHD (C); MA; NCC; EM
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Telephone | 239-666-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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