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General NPI Number Information
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NPI Number | 1619357449
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Entity Type | Individual
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Provider Name | SPARSHA THOUT M.ED., NCC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2015
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 106 E JEFFERSON ST
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City | LA GRANGE
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State | KY
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Zip | 40031-1445
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Country | US
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Telephone | 502-233-3290
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Fax |
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Provider Business Mailing Address
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Address Line | 5117 WITHORN SQ
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City | LOUISVILLE
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State | KY
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Zip | 40241-5200
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Country | US
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Telephone | 502-767-3174
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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