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General NPI Number Information
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NPI Number | 1477447225
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Entity Type | Organization
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Legal Business Name | SANATIVE HEALTH PARTNERS LLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1952 N WILLIAMSON BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5261
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Country | US
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Telephone | 903-342-8251
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Fax | 802-735-0001
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Provider Business Mailing Address
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Address Line | 8000 AVALON BLVD STE 100
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City | ALPHARETTA
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State | GA
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Zip | 30009-2469
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Country | US
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Telephone | 973-536-2577
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SASIKUMAR KATAMREDDY
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Credential | MD
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Telephone | 914-414-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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