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General NPI Number Information
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NPI Number | 1417866286
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Entity Type | Organization
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Legal Business Name | SONO BEHAVIORAL HEALTH CLINIC LLC
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 206-492-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 206-492-0723
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. JACQUELINE PORTER
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Credential |
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Telephone | 206-492-0723
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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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