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General NPI Number Information
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NPI Number | 1619516689
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Entity Type | Individual
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Provider Name | SARAH M PACE CDCA
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Gender | Female
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Dates
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Enumeration Date | 12/23/2019
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 1227 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6605
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Country | US
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Telephone | 330-647-6767
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Fax | 330-919-9700
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Provider Business Mailing Address
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Address Line | 620 W 44TH ST
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City | ASHTABULA
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State | OH
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Zip | 44004-6812
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Country | US
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Telephone | 440-462-8020
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Fax | 440-538-1278
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 172341
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License Number State | OH
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