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General NPI Number Information
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NPI Number | 1447168190
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Entity Type | Individual
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Provider Name | SARA PAIGE NIGHSWANDER MS SCHOOL PSYCHOLOGY
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 751 ULLIN AVE
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City | ULLIN
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State | IL
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Zip | 62992-1014
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Country | US
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Telephone | 618-634-9800
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Fax | 618-634-9864
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Provider Business Mailing Address
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Address Line | 785 LAKESHORE DR N
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City | GOREVILLE
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State | IL
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Zip | 62939-3128
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Country | US
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Telephone | 618-634-9800
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Fax | 618-634-9864
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 113335
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License Number State | IL
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