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General NPI Number Information
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NPI Number | 1902147291
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Entity Type | Organization
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Legal Business Name | SAJU HERBALS HEALTH AND WELLNESS
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 3514 70TH GLN E
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City | PALMETTO
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State | FL
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Zip | 34221-7383
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Country | US
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Telephone | 941-592-3725
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Fax |
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Provider Business Mailing Address
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Address Line | 3514 70TH GLN E
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City | PALMETTO
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State | FL
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Zip | 34221-7383
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | SABRINA CAUVIN
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Credential |
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Telephone | 941-592-3725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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