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General NPI Number Information
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NPI Number | 1447183801
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Entity Type | Organization
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Legal Business Name | SAND SEA WELLNESS NURSE PRACTITIONERS IN ADULT HEALTH PLLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 158 MONTAUK HWY
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City | BLUE POINT
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State | NY
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Zip | 11715-1101
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Country | US
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Telephone | 631-319-3453
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Fax |
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Provider Business Mailing Address
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Address Line | 70 SNEDECOR AVE
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City | BAYPORT
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State | NY
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Zip | 11705-1717
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Country | US
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Telephone | 631-484-2739
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER IN ADULT HEALTH
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Name | MRS. JESSICA SANTAMARIA
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Credential | AGNP
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Telephone | 631-484-2739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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