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General NPI Number Information
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NPI Number | 1558815324
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH FITZSIMMONS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 65 ASHBURTON AVE
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City | YONKERS
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State | NY
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Zip | 10701-2930
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Country | US
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Telephone | 914-729-4916
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Fax |
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Provider Business Mailing Address
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Address Line | 1538 E BOULEVARD
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City | PEEKSKILL
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State | NY
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Zip | 10566-4819
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Country | US
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Telephone | 914-729-4916
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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 | 096330-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 087589-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 087589
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License Number State | NY
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