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General NPI Number Information
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NPI Number | 1013098847
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Entity Type | Individual
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Provider Name | JUDY L. O'LEARY-SARGEANT PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 1135 KILDARE FARM RD SUITE 200-7
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City | CARY
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State | NC
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Zip | 27511
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Country | US
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Telephone | 919-415-4716
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Fax | 585-586-8603
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Provider Business Mailing Address
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Address Line | 4716 SWORDFISH DR
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City | RALEIGH
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State | NC
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Zip | 27603
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Country | US
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Telephone | 585-303-8903
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Fax | 585-586-8603
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5870
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 014378
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License Number State | NY
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