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General NPI Number Information
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NPI Number | 1831878503
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Entity Type | Individual
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Provider Name | SANMI YANIER SPENCER
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Gender | Male
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 18501 PINES BLVD STE 372
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1414
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Country | US
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Telephone | 954-237-8545
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Fax |
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Provider Business Mailing Address
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Address Line | 767 SW 9TH ST
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City | MIAMI
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State | FL
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Zip | 33130-3323
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Country | US
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Telephone | 305-491-8859
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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