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General NPI Number Information
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NPI Number | 1063459642
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Entity Type | Individual
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Provider Name | SARA K MCCLAM LISW AP CP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 261 BROAD STREET
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City | SUMTER
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State | SC
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Zip | 29150
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Country | US
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Telephone | 803-775-3060
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Fax | 803-774-4280
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Provider Business Mailing Address
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Address Line | 316 RUNNING FOX RD
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City | COLUMBIA
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State | SC
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Zip | 29223
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Country | US
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Telephone | 803-960-3153
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Fax | 803-905-5653
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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 | 001951
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License Number State | SC
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