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General NPI Number Information
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NPI Number | 1316780539
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Entity Type | Organization
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Legal Business Name | SANOLA HEALTHCARE SERVICES, PROFESSIONAL LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 06/15/2024
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1101 W HAMILTON ST STE 141
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City | ALLENTOWN
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State | PA
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Zip | 18101-1043
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Country | US
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Telephone | 484-650-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 W HAMILTON ST STE 141
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City | ALLENTOWN
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State | PA
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Zip | 18101-1043
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Country | US
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Telephone | 484-769-5070
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MR. OUMAR SANO
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Credential | CRNP
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Telephone | 484-769-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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