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General NPI Number Information
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NPI Number | 1588538946
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Entity Type | Organization
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Legal Business Name | FARAH SANON LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3415 16TH ST W
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-5329
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Country | US
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Telephone | 239-841-9466
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Fax |
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Provider Business Mailing Address
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Address Line | 3236 FORUM BLVD # 1189
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City | FORT MYERS
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State | FL
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Zip | 33905-5582
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Country | US
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Telephone | 239-841-9466
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Fax |
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Authorized Official
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Title or Position | HEALTHCARE ADMINSTRATOR
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Name | FARAH SANON
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Credential |
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Telephone | 239-841-9466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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