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NPI 1811455991

NPI 1811455991 : SAT FAMILY, LLC : VENICE, FL

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General NPI Number Information
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    NPI Number           |    1811455991
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAT FAMILY, LLC 
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Dates
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    Enumeration Date     |    03/07/2019
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    Last Update Date     |    07/09/2019
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Provider Practice Location Address
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    Address Line         |    333 TAMIAMI TRL S STE 183 
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    City                 |    VENICE
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    State                |    FL
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    Zip                  |    34285-2426
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    Country              |    US
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    Telephone            |    941-220-5075
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    Fax                  |    941-218-0486
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Provider Business Mailing Address
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    Address Line         |    216 KRAFT SREET 
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    City                 |    CLARKSVILLE
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    State                |    TN
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    Zip                  |    37040
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    Country              |    US
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    Telephone            |    931-591-2975
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    Fax                  |    931-591-2983
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Authorized Official
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    Title or Position    |    OWNER, CEO
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    Name                 |     SHERRY ANN TUCKER 
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    Credential           |    
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    Telephone            |    931-591-2975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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