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General NPI Number Information
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NPI Number | 1003230442
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Entity Type | Individual
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Provider Name | SARA A HAINA LCSW-C, LCADC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 4545 CRAIN HWY
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3045
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Country | US
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Telephone | 301-609-6616
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Fax | 301-934-1234
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Provider Business Mailing Address
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Address Line | 4545 CRAIN HWY
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3045
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Country | US
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Telephone | 301-609-6616
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Fax | 301-934-1234
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 07359
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCA304
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License Number State | MD
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