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General NPI Number Information
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NPI Number | 1124457239
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Entity Type | Organization
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Legal Business Name | SARAH EHLERS, LCSW LLC
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 1170 W KANSAS AVE BLDG 10
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City | LIBERTY
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State | MO
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Zip | 64068
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Country | US
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Telephone | 816-200-1738
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Fax |
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Provider Business Mailing Address
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Address Line | 3635 NE CYPRESS DR
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City | KANSAS CITY
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State | MO
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Zip | 64117-2640
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Country | US
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Telephone | 816-521-0479
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. SARAH E EHLERS
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Credential | LCSW
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Telephone | 816-521-0479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 200702088
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License Number State | MO
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