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General NPI Number Information
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NPI Number | 1104280510
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH MACCOY LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 221 HIGH ST STE 106D
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City | SEAFORD
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State | DE
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Zip | 19973-3954
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Country | US
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Telephone | 392-316-3848
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N MARKET STREET EXT
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City | SEAFORD
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State | DE
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Zip | 19973-1573
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Country | US
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Telephone | 302-629-6996
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Fax | 855-422-7169
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0001501
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License Number State | DE
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