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General NPI Number Information
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NPI Number | 1144764903
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Entity Type | Organization
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Legal Business Name | SARAI LEEB HERMAN PC
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 11107 WURZBACH RD SUITE 304
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2500
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Country | US
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Telephone | 210-428-5302
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Fax |
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Provider Business Mailing Address
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Address Line | 345 CLUB DR
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City | SAN ANTONIO
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State | TX
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Zip | 78201-3714
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Country | US
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Telephone | 480-272-3513
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Fax |
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Authorized Official
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Title or Position | OWNER THERAPIST
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Name | SARAI LEEB-HERMAN
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Credential | LCSW
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Telephone | 480-272-3513
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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 | 52900
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License Number State | TX
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