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NPI 1407394604

NPI 1407394604 : MISS SARAH JEANNE HARTMAN : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1407394604
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    Entity Type          |    Individual 
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    Provider Name        |    MISS SARAH JEANNE HARTMAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/07/2017
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    845 N MAIN ST 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02904-5700
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    Country              |    US
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    Telephone            |    401-648-7172
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8 KILBURN ST 
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    City                 |    NEW BEDFORD
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    State                |    MA
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    Zip                  |    02740-7321
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    Country              |    US
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    Telephone            |    508-979-1122
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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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       |    ISW04540
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    License Number State |    RI
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