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General NPI Number Information
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NPI Number | 1205359312
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Entity Type | Individual
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Provider Name | SARA FARCHAUS STEIN LLMSW
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Gender | Female
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 07/20/2017
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Provider Practice Location Address
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Address Line | 510 S MAPLE RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-3837
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Country | US
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Telephone | 734-822-0297
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 BEMIDJI DR
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City | ANN ARBOR
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State | MI
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Zip | 48103-4314
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801099101
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License Number State | MI
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