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NPI 1184386005

NPI 1184386005 : SARAH POPPELL LPC : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1184386005
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH POPPELL LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/07/2021
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    Last Update Date     |    10/07/2021
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Provider Practice Location Address
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    Address Line         |    8044 MONTGOMERY RD STE 700 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45236-2926
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    Country              |    US
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    Telephone            |    513-399-7732
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    136 WINDING BROOK LN 
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    City                 |    TERRACE PARK
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    State                |    OH
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    Zip                  |    45174-1035
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    Country              |    US
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    Telephone            |    513-203-9723
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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