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General NPI Number Information
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NPI Number | 1164933867
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Entity Type | Individual
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Provider Name | SARAH ANNE SHARP PHD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 1370 SW FAIRHAVEN DR
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City | OAK HARBOR
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State | WA
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Zip | 98277-4540
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Country | US
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Telephone | 719-352-1635
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 SE CITY BEACH ST UNIT 838
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City | OAK HARBOR
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State | WA
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Zip | 98277-2937
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Country | US
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Telephone | 719-352-1635
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Fax | 206-231-5075
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4694
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License Number State | CO
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