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General NPI Number Information
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NPI Number | 1861908758
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Entity Type | Individual
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Provider Name | DANESHIA SANDLIN
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Gender | Female
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 3442 ALGIERS DR APT 1209
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City | LAS VEGAS
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State | NV
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Zip | 89115-2851
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Country | US
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Telephone | 909-921-9268
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Fax |
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Provider Business Mailing Address
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Address Line | 12817 SPRUCE POINT DR
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City | MILLSBORO
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State | DE
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Zip | 19966-7432
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Country | US
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Telephone | 909-921-9268
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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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 | 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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