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General NPI Number Information
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NPI Number | 1184086563
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Entity Type | Individual
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Provider Name | SARAH DIAN GARLOCK LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 1070 HECKLE BLVD STE 203
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City | ROCK HILL
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State | SC
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Zip | 29732-2855
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Country | US
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Telephone | 803-909-7193
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Fax | 803-909-7440
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Provider Business Mailing Address
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Address Line | 309 WALKERS MILL CIR APT 408
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City | ROCK HILL
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State | SC
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Zip | 29732-3219
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Country | US
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Telephone | 401-864-5218
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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 | 10336
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License Number State | SC
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