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General NPI Number Information
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NPI Number | 1598365405
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Entity Type | Individual
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Provider Name | SARAH LEE CHRISTOVICH LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 1840 FIDDLER CT
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4450
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Country | US
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Telephone | 850-391-8718
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Fax |
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Provider Business Mailing Address
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Address Line | 8070 GREENMONT AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32317-8657
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Country | US
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Telephone | 561-324-1211
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW16626
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License Number State | FL
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