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General NPI Number Information
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NPI Number | 1518181452
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH BIXLER MA, CSAC, LADC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 1137 GRAND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105
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Country | US
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Telephone | 612-719-4137
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Fax | 651-340-3620
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Provider Business Mailing Address
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Address Line | 1521 PENN AVE N
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City | MINNEAPOLIS
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State | MN
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Zip | 55411-3051
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Country | US
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Telephone | 218-248-0704
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13912-132
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | NONE ASSIGNED
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 302071
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License Number State | MN
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