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General NPI Number Information
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NPI Number | 1396121562
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Entity Type | Individual
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Provider Name | SARAH SMITH M.S., LPC-INTERN
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Gender | Female
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 16415 ADDISON RD SUITE #305
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City | ADDISON
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State | TX
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Zip | 75001-3218
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Country | US
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Telephone | 972-489-0496
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Fax |
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Provider Business Mailing Address
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Address Line | 11238 FOUNTAINBRIDGE DR
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City | FRISCO
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State | TX
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Zip | 75035-8647
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Country | US
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Telephone | 972-489-0496
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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 | 67222
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License Number State | TX
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