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General NPI Number Information
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NPI Number | 1205571239
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Entity Type | Individual
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Provider Name | SARA ELIZABETH EARL LPC, NCC, BC-DMT
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Gender | Female
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 4001 MAIN STREET NO. 204
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City | PHILADELPHIA
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State | PA
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Zip | 19127
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Country | US
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Telephone | 512-809-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 721 KENMARE RD
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City | BALA CYNWYD
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State | PA
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Zip | 19004-2109
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Country | US
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Telephone | 512-809-5709
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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 | 225600000X
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Taxonomy Name | Dance Therapist
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC018405
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License Number State | PA
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