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General NPI Number Information
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NPI Number | 1144049230
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Entity Type | Individual
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Provider Name | SARA CARLSON LSW
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 300 OXFORD DR STE 50
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City | MONROEVILLE
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State | PA
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Zip | 15146-2343
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Country | US
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Telephone | 412-844-2805
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Fax |
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Provider Business Mailing Address
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Address Line | 124 LACROSSE ST APT 202
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City | PITTSBURGH
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State | PA
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Zip | 15218-1658
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Country | US
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Telephone | 724-826-0298
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW140834
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License Number State | PA
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