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General NPI Number Information
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NPI Number | 1487450110
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Entity Type | Individual
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Provider Name | SARAH CANTERBURY
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 141 MACK BAYOU LOOP STE 301
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-7194
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Country | US
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Telephone | 850-270-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 246 COCOBOLO DR
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-8052
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Country | US
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Telephone | 864-561-6859
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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 | IMH26270
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License Number State | FL
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