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General NPI Number Information
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NPI Number | 1518816560
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Entity Type | Organization
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Legal Business Name | SARA BISSON LLC
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 75 STATE ST STE 100
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City | BOSTON
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State | MA
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Zip | 02109-1826
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Country | US
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Telephone | 812-269-8693
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Fax |
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Provider Business Mailing Address
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Address Line | 885 S COLLEGE MALL RD PMB 136
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City | BLOOMINGTON
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State | IN
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Zip | 47401-6301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA BISSON
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Credential | PHD
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Telephone | 716-316-7219
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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 |
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License Number State |
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