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General NPI Number Information
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NPI Number | 1609914092
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Entity Type | Individual
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Provider Name | SARA L POWELL LSW
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 301 N NEIL ST STE 302
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City | CHAMPAIGN
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State | IL
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Zip | 61820-3167
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Country | US
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Telephone | 217-352-0200
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Fax | 217-607-1139
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Provider Business Mailing Address
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Address Line | 2125 S NEIL ST
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City | CHAMPAIGN
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State | IL
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Zip | 61820-7266
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Country | US
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Telephone | 217-352-0200
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Fax | 217-607-1139
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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 | 150.114347
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License Number State | IL
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