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General NPI Number Information
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NPI Number | 1598902348
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Entity Type | Individual
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Provider Name | SARAH J ERICKSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 1985 MAIN ST 3RD FLOOR
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City | SPRINGFIELD
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State | MA
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Zip | 01103-1095
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Country | US
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Telephone | 612-432-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 6A SOUTH ST PO BOX 233
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City | CHESTERFIELD
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State | MA
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Zip | 01012-9719
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Country | US
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Telephone | 612-432-3526
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 9202
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License Number State | MA
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