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General NPI Number Information
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NPI Number | 1407972961
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Entity Type | Individual
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Provider Name | SARA PENNINGTON PARKER M. A., LPC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 1290 MAIN ST STE C
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City | DAPHNE
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State | AL
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Zip | 36526-8624
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Country | US
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Telephone | 251-313-3051
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 MAIN ST STE C
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City | DAPHNE
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State | AL
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Zip | 36526-8624
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Country | US
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Telephone | 251-313-3051
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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 | 1844
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1844
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License Number State | AL
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