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General NPI Number Information
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NPI Number | 1245639988
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Entity Type | Individual
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Provider Name | SARAH MOTTER
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Gender | Female
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 340 LORTON AVE
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City | BURLINGAME
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State | CA
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Zip | 94010
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Country | US
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Telephone | 415-343-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 68 MADRONA ST
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City | SAN CARLOS
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State | CA
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Zip | 94070-1923
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Country | US
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Telephone | 404-518-4162
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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