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General NPI Number Information
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NPI Number | 1225516214
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Entity Type | Individual
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Provider Name | SARA SPEELMAN
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 4930 N HOLLAND SYLVANIA RD STE A
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City | SYLVANIA
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State | OH
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Zip | 43560-2149
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Country | US
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Telephone | 419-450-2347
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Fax | 517-813-6375
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Provider Business Mailing Address
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Address Line | 4635 SHERINGHAM LN
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City | SYLVANIA
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State | OH
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Zip | 43560-2915
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Country | US
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Telephone | 419-450-2347
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1000709
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I2002144
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License Number State | OH
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