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General NPI Number Information
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NPI Number | 1396610747
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Entity Type | Individual
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Provider Name | SARA JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 7610 SLATE RIDGE BLVD
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-3126
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Country | US
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Telephone | 614-835-6068
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Fax |
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Provider Business Mailing Address
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Address Line | 800 CROSS POINTE RD STE 800D
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City | GAHANNA
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State | OH
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Zip | 43230-6687
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Country | US
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Telephone | 624-835-6068
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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