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General NPI Number Information
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NPI Number | 1538285853
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Entity Type | Individual
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Provider Name | SARA R BARTRAM MMFT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 100 HAZEL PATH LEXINGTON BUILDING, SUITE B
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3841
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Country | US
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Telephone | 615-403-1036
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Fax |
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Provider Business Mailing Address
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Address Line | 208 KEENE VLY N
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-4594
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Country | US
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Telephone | 615-403-1036
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMT0000001032
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC52176
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License Number State | CA
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