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General NPI Number Information
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NPI Number | 1528672896
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Entity Type | Individual
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Provider Name | MS. SARAH C. YUKNA
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Gender | Female
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 07/20/2024
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Provider Practice Location Address
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Address Line | 205 W. GROVE ST. STE. E
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City | MIDDLEBORO
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State | MA
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Zip | 02346-1462
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Country | US
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Telephone | 508-203-6908
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Fax | 508-796-1468
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Provider Business Mailing Address
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Address Line | 205 W. GROVE ST. STE. E
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City | MIDDLEBORO
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State | MA
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Zip | 02346-1462
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Country | US
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Telephone | 508-203-6908
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Fax | 508-796-1468
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LICSW128317
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License Number State | MA
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