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General NPI Number Information
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NPI Number | 1588220891
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Entity Type | Individual
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Provider Name | SARA STUTZNEGGER PASSEY LPCA, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 1140 KILDAIRE FARM RD STE 206-5
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City | CARY
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State | NC
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Zip | 27511-4562
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Country | US
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Telephone | 919-244-4722
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 BEXLEY HILLS BND
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City | APEX
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State | NC
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Zip | 27502-1887
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Country | US
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Telephone | 919-244-4722
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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 | A14820
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License Number State | NC
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