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General NPI Number Information
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NPI Number | 1962212209
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Entity Type | Organization
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Legal Business Name | SANE.MEDICAL
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 8174 NAVARRE PKWY STE 1
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City | NAVARRE
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State | FL
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Zip | 32566-6906
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Country | US
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Telephone | 850-764-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 1882 COAST CT
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City | GULF BREEZE
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State | FL
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Zip | 32563-9349
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Country | US
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Telephone | 251-233-2179
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA DAVIS
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Credential | NP
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Telephone | 850-764-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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