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General NPI Number Information
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NPI Number | 1861104044
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Entity Type | Organization
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Legal Business Name | THE SANDS ACADEMY OF CENTRAL FLORIDA, INC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 10/26/2024
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Provider Practice Location Address
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Address Line | 435 LECEILE DR
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City | DELAND
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State | FL
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Zip | 32724-4616
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Country | US
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Telephone | 386-241-7952
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Fax |
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Provider Business Mailing Address
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Address Line | 435 LECEILE DR
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City | DELAND
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State | FL
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Zip | 32724-4616
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Country | US
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Telephone | 386-241-7952
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Fax |
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Authorized Official
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Title or Position | INTERVENTION SPECIALIST
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Name | LAUREN KRISTIN SANDS
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Credential |
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Telephone | 386-279-1569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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