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General NPI Number Information
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NPI Number | 1497048284
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Entity Type | Organization
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Legal Business Name | SAAFE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 901 MADISON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-1811
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Country | US
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Telephone | 386-334-4583
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Fax |
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Provider Business Mailing Address
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Address Line | 901 MADISON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-1811
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Country | US
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Telephone | 386-334-4583
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. VANESSA HARVEY-LENTS
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Credential | RMFT
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Telephone | 386-308-5889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | ADC-010572-2015
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License Number State | FL
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