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General NPI Number Information
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NPI Number | 1376400564
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Entity Type | Individual
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Provider Name | SANAA MARTIN
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 9000 GARTH RD APT 204
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7177
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Country | US
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Telephone | 410-919-6540
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Fax |
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Provider Business Mailing Address
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Address Line | 30 W BIDDLE ST UNIT 410
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City | BALTIMORE
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State | MD
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Zip | 21201-5691
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Country | US
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Telephone | 917-244-8489
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 1107852
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License Number State | MD
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