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NPI 1225544745

NPI 1225544745 : SARAH A TEMEL M.S.ED, LAC : AUDUBON, NJ

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General NPI Number Information
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    NPI Number           |    1225544745
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH A TEMEL M.S.ED, LAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/19/2017
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    Last Update Date     |    12/19/2017
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Provider Practice Location Address
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    Address Line         |    730 S WHITE HORSE PIKE 
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    City                 |    AUDUBON
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    State                |    NJ
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    Zip                  |    08106-1326
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    Country              |    US
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    Telephone            |    856-617-4544
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1019 SYCAMORE ST 
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    City                 |    HADDON HEIGHTS
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    State                |    NJ
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    Zip                  |    08035-1613
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    37AC00364000
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    License Number State |    NJ
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