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General NPI Number Information
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NPI Number | 1912626680
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Entity Type | Individual
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Provider Name | SAKINAH AYANA OSBORNE LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 2525 EMBASSY DR
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City | HOLLYWOOD
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State | FL
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Zip | 33026-4573
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Country | US
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Telephone | 678-699-3589
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Fax |
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Provider Business Mailing Address
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Address Line | 5213 SW 157TH LN
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City | MIRAMAR
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State | FL
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Zip | 33027-5614
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Country | US
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Telephone | 678-699-3589
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH20793
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License Number State | FL
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