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General NPI Number Information
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NPI Number | 1003258328
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Entity Type | Individual
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Provider Name | SARAH JO BARTUSCH MS
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Gender | Female
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 201 SIGMA DR STE 300
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 800-552-4357
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Fax | 678-388-9244
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Provider Business Mailing Address
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Address Line | 627 OLD TROLLEY RD STE A
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5673
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Country | US
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Telephone | 800-552-4357
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Fax | 678-388-9244
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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