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General NPI Number Information
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NPI Number | 1619345345
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Entity Type | Organization
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Legal Business Name | SARAH C MARSHALL PH D PC
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 197 SOUTH ST DOCTOR'S PARK BLDG. A
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City | PITTSFIELD
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State | MA
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Zip | 01201-6893
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Country | US
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Telephone | 413-445-9944
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Fax | 949-863-6452
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Provider Business Mailing Address
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Address Line | 197 SOUTH ST DOCTOR'S PARK BLDG. A
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City | PITTSFIELD
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State | MA
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Zip | 01201-6893
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Country | US
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Telephone | 413-445-9944
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Fax | 949-863-6452
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Authorized Official
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Title or Position | DIRECTOR
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Name | SARAH C. MARSHALL
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Credential | PHD
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Telephone | 413-445-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 8844
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 7350
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License Number State | MA
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