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General NPI Number Information
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NPI Number | 1194683045
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Entity Type | Individual
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Provider Name | MRS. SARAH ELIZABETH MOCK
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 5745 N 750 E
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City | NORTH WEBSTER
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State | IN
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Zip | 46555-9227
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Country | US
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Telephone | 574-834-7644
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S SYCAMORE ST
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City | SYRACUSE
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State | IN
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Zip | 46567-1842
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Country | US
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Telephone | 574-457-3188
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | IN
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