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General NPI Number Information
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NPI Number | 1275800583
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Entity Type | Organization
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Legal Business Name | DR. SAHADEO PSYCHIATRIC CASE MANAGMENT AGENCY
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 1115 45TH ST #2
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2376
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Country | US
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Telephone | 561-572-7961
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 45TH ST #2
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2376
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Country | US
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Telephone | 561-572-7961
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GLORIA INES MONTOYA
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Credential | MS. HUMAN RELATIONS
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Telephone | 561-572-7961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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