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General NPI Number Information
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NPI Number | 1376685461
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Entity Type | Individual
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Provider Name | SARAH JEAN WOOD II M.ED
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 230 MAPLE ST SUITE B
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City | HOLYOKE
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State | MA
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Zip | 01040-5144
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Country | US
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Telephone | 413-532-9446
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Fax |
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Provider Business Mailing Address
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Address Line | 591 SUFFIELD ST
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City | AGAWAM
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State | MA
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Zip | 01001-2361
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Country | US
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Telephone | 413-789-2827
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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