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General NPI Number Information
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NPI Number | 1932620762
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Entity Type | Individual
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Provider Name | SANA AMELIA POWELL
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Gender | Female
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Dates
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Enumeration Date | 07/01/2017
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 5424 W US HWY 290 SERVICE ROAD SUITE 108
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City | AUSTIN
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State | TX
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Zip | 78735
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Country | US
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Telephone | 512-953-3843
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Fax |
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Provider Business Mailing Address
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Address Line | 85 E NEWTON ST STE 802
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City | BOSTON
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State | MA
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Zip | 02118-2841
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Country | US
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Telephone | 617-638-8013
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Fax | 617-414-1975
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1085267
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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