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General NPI Number Information
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NPI Number | 1710406228
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Entity Type | Individual
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Provider Name | SASHA SAIDI PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 09/15/2017
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Provider Practice Location Address
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Address Line | 16810 SOUTH HIGHWAY 441 SUITE 502
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City | SUMMERFIELD
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State | FL
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Zip | 34491
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Country | US
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Telephone | 844-682-8261
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Fax |
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Provider Business Mailing Address
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Address Line | 3825 PEPPER TREE LN APT 4208
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City | WILDWOOD
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State | FL
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Zip | 34785-7626
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Country | US
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Telephone | 14237624787
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 9110190
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License Number State | FL
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