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General NPI Number Information
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NPI Number | 1275680365
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Entity Type | Individual
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Provider Name | SARA SCOTT LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 4207 LEBANON PIKE SUITE 201
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City | HERMITAGE
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State | TN
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Zip | 37076-1200
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Country | US
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Telephone | 615-758-4158
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Fax | 615-541-4910
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Provider Business Mailing Address
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Address Line | 704 CROWN CT
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City | OLD HICKORY
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State | TN
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Zip | 37138-2334
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Country | US
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Telephone | 615-758-4158
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Fax | 615-758-4128
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0000001785
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License Number State | TN
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