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General NPI Number Information
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NPI Number | 1619597424
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Entity Type | Individual
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Provider Name | SARAH MULLINAX LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 13535 NEMOURS PKWY
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City | ORLANDO
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State | FL
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Zip | 32827-7402
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Country | US
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Telephone | 407-567-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 749 SENECA MEADOWS RD
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4725
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Country | US
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Telephone | 386-214-7732
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW14857
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License Number State | FL
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