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General NPI Number Information
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NPI Number | 1275405979
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Entity Type | Individual
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Provider Name | SARAH REILLY VALDIVIESO LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 42 DELSEA DR S
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City | GLASSBORO
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State | NJ
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Zip | 08028-2621
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Country | US
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Telephone | 856-981-1478
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Fax |
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Provider Business Mailing Address
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Address Line | 18 S WOODBURY RD
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City | PITMAN
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State | NJ
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Zip | 08071-1649
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Country | US
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Telephone | 856-340-1242
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF001513
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37F100245800
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License Number State | NJ
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