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General NPI Number Information
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NPI Number | 1184433583
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Entity Type | Individual
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Provider Name | NICCOLE RENEE SARGENT CT
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Gender | Female
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Dates
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Enumeration Date | 01/01/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 3000 REGENCY CT STE 207
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City | TOLEDO
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State | OH
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Zip | 43623-3081
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Country | US
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Telephone | 567-389-0288
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Fax |
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Provider Business Mailing Address
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Address Line | 2423 S HOLLAND SYLVANIA RD APT 299
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City | MAUMEE
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State | OH
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Zip | 43537-1458
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Country | US
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Telephone | 567-801-5457
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2506581-TRNE
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License Number State | OH
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