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General NPI Number Information
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NPI Number | 1922506476
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Entity Type | Individual
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Provider Name | SAYAN A GRAHAM ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 11/27/2020
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Provider Practice Location Address
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Address Line | 3304 NW 29TH CT
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-1105
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Country | US
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Telephone | 954-729-7706
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Fax |
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Provider Business Mailing Address
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Address Line | 3304 NW 29TH CT
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-1105
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Country | US
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Telephone | 954-729-7706
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9270980
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License Number State | FL
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