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General NPI Number Information
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NPI Number | 1477424919
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Entity Type | Individual
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Provider Name | JONATHAN MARSHALL SAUNDERSON
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Gender | Male
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 330 SW 27TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-2051
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Country | US
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Telephone | 954-791-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 SW 15TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-3920
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Country | US
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Telephone | 954-529-0186
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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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