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General NPI Number Information
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NPI Number | 1184380966
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Entity Type | Individual
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Provider Name | SARAH RAE FRENCH LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 2647 KIMBERLY RD STE 2
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City | TWIN FALLS
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State | ID
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Zip | 83301-7976
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Country | US
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Telephone | 280-734-1281
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Fax |
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Provider Business Mailing Address
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Address Line | 794 EASTLAND DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-6856
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Country | US
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Telephone | 208-734-3312
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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 | X-12228
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1971039
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License Number State | ID
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