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General NPI Number Information
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NPI Number | 1376718072
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Entity Type | Individual
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Provider Name | ELAINE SANFORD-SAWYER LCSW; LICDC
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Gender | Female
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 1701 NETHERFIELD LN
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City | RALEIGH
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State | NC
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Zip | 27610-4537
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Country | US
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Telephone | 919-255-1785
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Fax | 919-231-3446
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Provider Business Mailing Address
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Address Line | 1701 NETHERFIELD LN
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City | RALEIGH
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State | NC
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Zip | 27610-4537
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Country | US
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Telephone | 919-255-1785
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Fax | 919-231-3446
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 965606
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License Number State | OH
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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 | I0028072-S
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C006295
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License Number State | NC
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