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General NPI Number Information
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NPI Number | 1316399223
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Entity Type | Individual
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Provider Name | SHARA ANGLIN MRC, LPCA
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Gender | Female
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 900 BEASLEY ST SUITE 120
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City | LEXINGTON
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State | KY
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Zip | 40509-4266
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Country | US
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Telephone | 859-285-1706
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Fax |
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Provider Business Mailing Address
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Address Line | 3042 VINCE RD
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-9337
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Country | US
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Telephone | 859-536-7290
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 128585
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License Number State | KY
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