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General NPI Number Information
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NPI Number | 1467813006
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Entity Type | Individual
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Provider Name | NIKESHA S SANDERS LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 700 MAIN ST
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City | ELLENDALE
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State | DE
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Zip | 19941-2066
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Country | US
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Telephone | 302-424-5660
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Fax | 302-424-5661
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Provider Business Mailing Address
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Address Line | 2701 N 16TH ST STE 316
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City | PHOENIX
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State | AZ
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Zip | 85006-1266
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Country | US
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Telephone | 602-650-1212
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Fax | 602-636-5283
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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