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General NPI Number Information
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NPI Number | 1225383078
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Entity Type | Individual
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Provider Name | SARAH B STEVENS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 160 WINDING ROCK RD
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City | GOOSE CREEK
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State | SC
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Zip | 29445-7205
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Country | US
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Telephone | 843-501-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 44 THORNBERRY DR
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City | AUGUSTA
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State | GA
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Zip | 30909-1922
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Country | US
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Telephone | 706-495-7478
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0003505
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1167
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License Number State | SC
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