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NPI 1386253433

NPI 1386253433 : SARA HARKNESS ENGER CCC-SLP : HELENA, AL

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General NPI Number Information
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    NPI Number           |    1386253433
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    Entity Type          |    Individual 
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    Provider Name        |    SARA HARKNESS ENGER CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/24/2020
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    Last Update Date     |    09/05/2024
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Provider Practice Location Address
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    Address Line         |    6049 WOODVALE RD 
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    City                 |    HELENA
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    State                |    AL
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    Zip                  |    35080-3949
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    Country              |    US
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    Telephone            |    770-366-2823
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 25704 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87125-0704
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    Country              |    US
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    Telephone            |    505-880-3700
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    5021
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    0059
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    License Number State |    NM
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