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General NPI Number Information
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NPI Number | 1063934792
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Entity Type | Individual
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Provider Name | SARAH MAYS-SUTOR LCPC, CADC, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 142 HIGH ST STE 325
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City | PORTLAND
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State | ME
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Zip | 04101-2840
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Country | US
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Telephone | 615-319-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 50 PRIDE ST
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City | WESTBROOK
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State | ME
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Zip | 04092-3619
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Country | US
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Telephone |
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Fax |
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 14-210
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC5286
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License Number State | ME
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