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General NPI Number Information
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NPI Number | 1255008066
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Entity Type | Individual
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Provider Name | SANDY HARRIS NP NP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 9441 HEALTH CENTER DR
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City | LAND O LAKES
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State | FL
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Zip | 34637-5837
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Country | US
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Telephone | 646-228-4209
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Fax |
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Provider Business Mailing Address
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Address Line | 4029 TOWNSHIP SQUARE BLVD APT 2823
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City | ORLANDO
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State | FL
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Zip | 32837-4313
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Country | US
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Telephone | 646-228-4209
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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 | APRN11031932
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License Number State | FL
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