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General NPI Number Information
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NPI Number | 1538173968
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH FREY LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 11/17/2017
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Provider Practice Location Address
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Address Line | 777 RIVERVIEW DR
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City | BENTON HARBOR
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State | MI
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Zip | 49022-5065
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Country | US
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Telephone | 260-224-1397
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Fax |
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Provider Business Mailing Address
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Address Line | 9516 PINE ST
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City | BRIDGMAN
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State | MI
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Zip | 49106-9531
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Country | US
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Telephone | 260-224-1397
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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