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General NPI Number Information
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NPI Number | 1295195782
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Entity Type | Individual
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Provider Name | SARA KRANZLER PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 903 HANSHAW RD
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City | ITHACA
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State | NY
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Zip | 14850
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Country | US
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Telephone | 315-497-7433
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3872
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City | ITHACA
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State | NY
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Zip | 14852
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Country | US
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Telephone | 551-265-8883
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 020892
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 020892-1
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License Number State | NY
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