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General NPI Number Information
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NPI Number | 1437160280
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Entity Type | Individual
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Provider Name | SANDRA JOAQUINA FUJITA L.C.S.W., A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 450 SE 2ND ST
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City | HIALEAH
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State | FL
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Zip | 33010-5308
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Country | US
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Telephone | 305-333-8482
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Fax |
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Provider Business Mailing Address
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Address Line | 450 SE 2ND ST
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City | HIALEAH
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State | FL
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Zip | 33010-5308
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Country | US
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Telephone | 305-333-8482
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW2201
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9227719
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP 9227719
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License Number State | FL
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