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General NPI Number Information
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NPI Number | 1942933817
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Entity Type | Organization
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Legal Business Name | SEHNER & SHORT ENTERPRISES LLC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 409 COUNTRY LN
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City | BRADENTON
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State | FL
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Zip | 34212-2653
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Country | US
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Telephone | 843-907-0743
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Fax |
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Provider Business Mailing Address
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Address Line | 8374 MARKET ST # 117
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5137
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Country | US
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Telephone | 843-907-0743
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | TUCKER SHORT
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Credential |
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Telephone | 843-907-0743
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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 |
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License Number State |
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