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General NPI Number Information
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NPI Number | 1639969975
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Entity Type | Individual
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Provider Name | SARAH EMBRY
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 6306 MISTFLOWER CIR
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City | PROSPECT
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State | KY
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Zip | 40059-6604
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Country | US
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Telephone | 502-424-4173
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Fax | 502-424-4173
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Provider Business Mailing Address
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Address Line | 6306 MISTFLOWER CIR
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City | PROSPECT
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State | KY
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Zip | 40059-6604
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Country | US
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Telephone | 502-424-4173
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20766
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701015697
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License Number State | VA
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