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General NPI Number Information
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NPI Number | 1083000798
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Entity Type | Individual
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Provider Name | ANDREA SARTORI PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 107 W 5TH NORTH ST STE 102
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City | SUMMERVILLE
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State | SC
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Zip | 29483
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Country | US
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Telephone | 843-509-6521
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Fax | 843-636-3406
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Provider Business Mailing Address
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Address Line | 107 W 5TH NORTH ST STE 102
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6446
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Country | US
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Telephone | 843-509-6521
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Fax | 843-636-3406
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS01513
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1567
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 1567
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License Number State | SC
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