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General NPI Number Information
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NPI Number | 1538600663
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Entity Type | Individual
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Provider Name | SARA BETH FELEY LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 1195 NW WALL ST
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City | BEND
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State | OR
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Zip | 97703-1965
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Country | US
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Telephone | 541-726-1465
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Fax |
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Provider Business Mailing Address
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Address Line | 3995 MARCOLA RD
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City | SPRINGFIELD
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State | OR
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Zip | 97477-7948
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Country | US
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Telephone | 541-726-1465
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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 | T1156
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License Number State | OR
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