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General NPI Number Information
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NPI Number | 1073329629
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH DI SIBIO LPC-A
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 5850 TOWN AND COUNTRY BLVD STE 603
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City | FRISCO
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State | TX
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Zip | 75034-6948
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Country | US
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Telephone | 609-937-0504
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 DIAMOND DOVE DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-1727
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Country | US
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Telephone | 609-937-0504
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 96304
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License Number State | TX
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