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General NPI Number Information
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NPI Number | 1336608843
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Entity Type | Individual
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Provider Name | SARAH CATHERINE PILLEMER PHD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 146 W RIVER ST STE 11A
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City | PROVIDENCE
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State | RI
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Zip | 02904-2609
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Country | US
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Telephone | 401-793-4006
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Fax |
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Provider Business Mailing Address
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Address Line | 3332 AVALON DR
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City | SHARON
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State | MA
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Zip | 02067-3503
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Country | US
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Telephone | 607-351-0019
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS01750
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS01750
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License Number State | RI
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