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General NPI Number Information
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NPI Number | 1457029555
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Entity Type | Individual
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Provider Name | SARAH RAMBY PHILLIPS PHD
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Gender | Female
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 3812 CONCORD PL STE 3
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City | ROANOKE
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State | VA
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Zip | 24018-3654
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Country | US
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Telephone | 540-200-7135
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Fax |
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Provider Business Mailing Address
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Address Line | 3812 CONCORD PL STE 3
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City | ROANOKE
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State | VA
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Zip | 24018-3654
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Country | US
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Telephone | 540-200-7135
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810004732
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License Number State | VA
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