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General NPI Number Information
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NPI Number | 1245367143
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Entity Type | Individual
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Provider Name | SARA FLEMING LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 4729 SE 86TH AVE
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City | PORTLAND
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State | OR
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Zip | 97266-3035
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Country | US
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Telephone | 503-278-5581
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Fax |
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Provider Business Mailing Address
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Address Line | 8616 SE SCHILLER ST
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City | PORTLAND
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State | OR
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Zip | 97266-3164
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Country | US
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Telephone | 503-553-9382
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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 | L4435
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License Number State | OR
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