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General NPI Number Information
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NPI Number | 1417814484
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Entity Type | Individual
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Provider Name | SARAH MOORE LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 830 MAIN ST STE 2
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City | WARTBURG
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State | TN
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Zip | 37887-4144
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Country | US
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Telephone | 423-346-6221
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Fax |
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Provider Business Mailing Address
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Address Line | 240 W TYRONE RD
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City | OAK RIDGE
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State | TN
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Zip | 37830-6517
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Country | US
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Telephone | 865-482-1076
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7089
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License Number State | TN
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