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General NPI Number Information
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NPI Number | 1376024901
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Entity Type | Individual
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Provider Name | SARAH RUNK PLPC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 701 RUE SAINT FRANCOIS ST
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City | FLORISSANT
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State | MO
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Zip | 63031-4921
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Country | US
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Telephone | 314-837-7825
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Fax | 913-677-3282
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Provider Business Mailing Address
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Address Line | 8629 BLUEJACKET ST
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City | LENEXA
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State | KS
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Zip | 66214-1604
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Country | US
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Telephone | 913-677-3553
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Fax | 913-677-3282
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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 | 2018026700
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License Number State | MO
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