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General NPI Number Information
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NPI Number | 1326511569
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Entity Type | Individual
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Provider Name | JONI ANNETTE SANDS
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 8645 N MILITARY TRL STE 508
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6296
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Country | US
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Telephone | 561-630-8001
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Fax | 561-630-8007
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Provider Business Mailing Address
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Address Line | 8645 N MILITARY TRL STE 508
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6296
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Country | US
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Telephone | 561-630-8001
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Fax | 561-630-8007
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 11000696
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 22441
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN11000696
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License Number State | FL
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