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General NPI Number Information
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NPI Number | 1437561289
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Entity Type | Individual
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Provider Name | SANDRA DEVOE LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 981 E EAU GALLIE BLVD STE E #6000
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City | MELBOURNE
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State | FL
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Zip | 32937
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Country | US
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Telephone | 321-270-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 981 E EAU GALLIE BLVD STE E #6000
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City | MELBOURNE
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State | FL
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Zip | 32937
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Country | US
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Telephone | 321-270-8310
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-13603
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW16876
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW18640
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License Number State | FL
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