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General NPI Number Information
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NPI Number | 1902402076
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Entity Type | Organization
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Legal Business Name | STERLING COGNITIVE WELLNESS LLC
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 525 BAYWOOD DR N
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City | DUNEDIN
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State | FL
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Zip | 34698-2008
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Country | US
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Telephone | 727-386-6003
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Fax |
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Provider Business Mailing Address
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Address Line | 525 BAYWOOD DR N
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City | DUNEDIN
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State | FL
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Zip | 34698-2008
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Country | US
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Telephone | 727-386-6003
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CINDY LEE SCULLION STERLING
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Credential | MB
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Telephone | 727-386-6003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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