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General NPI Number Information
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NPI Number | 1356984371
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Entity Type | Individual
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Provider Name | SARAH LYNN DAVIS
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Gender | Female
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 220 W 71ST ST APT 1
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City | NEW YORK
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State | NY
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Zip | 10023-3747
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Country | US
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Telephone | 212-847-0695
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Fax |
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Provider Business Mailing Address
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Address Line | 255 W 94TH ST APT 20H
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City | NEW YORK
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State | NY
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Zip | 10025-9652
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00697400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 84234
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC011611
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 009570
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License Number State | NY
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