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General NPI Number Information
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NPI Number | 1396253027
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Entity Type | Organization
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Legal Business Name | LANSHEL, INC.
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 4850 W OAKLAND PARK BLVD STE 145
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-7277
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Country | US
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Telephone | 954-933-3407
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Fax | 754-205-4528
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Provider Business Mailing Address
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Address Line | 4850 W OAKLAND PARK BLVD STE 145
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-7277
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Country | US
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Telephone | 954-933-3407
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Fax |
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Authorized Official
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Title or Position | CEO/ PRESIDENT
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Name | DR. SANDRA K LANGE
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Credential | PSY.D.
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Telephone | 954-401-5675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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Taxonomy #3
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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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