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General NPI Number Information
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NPI Number | 1336731702
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Entity Type | Individual
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Provider Name | SARAH E KLOTZ LPGC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 8700 GEORGIA AVE STE 404
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City | SILVER SPRING
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State | MD
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Zip | 20910-3605
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Country | US
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Telephone | 301-960-8694
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 WILLOW OAK DR APT 305
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City | CAMBRIDGE
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State | MD
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Zip | 21613-3543
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Country | US
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Telephone | 240-432-1884
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LGP9765
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License Number State | MD
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