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General NPI Number Information
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NPI Number | 1346688363
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Entity Type | Individual
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Provider Name | SARAH STAPLETON REES LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 31 PORTER STREET
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City | LAKEVILLE
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State | CT
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Zip | 06039
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Country | US
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Telephone | 860-960-6879
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Fax | 718-231-4225
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Provider Business Mailing Address
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Address Line | PO BOX 287
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City | LAKEVILLE
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State | CT
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Zip | 06039-0287
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Country | US
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Telephone | 860-960-6879
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 083255
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10586
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License Number State | CT
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