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General NPI Number Information
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NPI Number | 1336865666
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Entity Type | Organization
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Legal Business Name | SANAY LLC
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 11/05/2022
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Provider Practice Location Address
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Address Line | 805 E BROWARD BLVD STE 301
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2046
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Country | US
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Telephone | 720-926-8151
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Fax |
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Provider Business Mailing Address
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Address Line | 1722 SHERIDAN ST # 377
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City | HOLLYWOOD
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State | FL
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Zip | 33020-2275
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Country | US
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Telephone | 720-926-8151
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Fax |
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Authorized Official
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Title or Position | SOILE OWNER, SOLO PROVIDER
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Name | MICHELLE SANAY
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Credential | PMHNP
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Telephone | 720-926-8151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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