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General NPI Number Information
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NPI Number | 1801285085
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Entity Type | Individual
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Provider Name | EDNA SACDALAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 4300 ALTON RD SUITE 359
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 305-695-7697
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Fax | 305-674-2604
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Provider Business Mailing Address
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Address Line | 4300 ALTON RD SUITE 359
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 305-695-7697
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Fax | 305-674-2604
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | ARNP763892
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License Number State | FL
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