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General NPI Number Information
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NPI Number | 1457799538
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Entity Type | Individual
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Provider Name | SARAH BENTLEY
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Gender | Female
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1709 MOON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-3935
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Country | US
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Telephone | 505-271-0329
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S 21ST ST STE 400A
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City | LINCOLN
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State | NE
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Zip | 68510-1044
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Country | US
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Telephone | 402-401-0999
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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 | CCMH0222961
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License Number State | NM
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