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General NPI Number Information
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NPI Number | 1881358752
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Entity Type | Individual
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Provider Name | SANDRA HABIB
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Gender | Female
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 357 RIVERSIDE DR STE 231
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City | FRANKLIN
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State | TN
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Zip | 37064-8987
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Country | US
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Telephone | 615-440-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 5204 BAYWIND DR E
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City | ANTIOCH
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State | TN
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Zip | 37013-2987
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Country | US
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Telephone | 615-440-0620
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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