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General NPI Number Information
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NPI Number | 1851141550
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Entity Type | Individual
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Provider Name | MANJU SATHYAPALAN DNP, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 8016 WILES RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2072
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Country | US
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Telephone | 954-918-0165
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Fax |
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Provider Business Mailing Address
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Address Line | 5110 NW 122ND AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3504
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Country | US
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Telephone | 954-918-1065
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11031990
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License Number State | FL
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