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General NPI Number Information
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NPI Number | 1649184086
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Entity Type | Individual
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Provider Name | SARAH REBECCA LAWRENCE
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 5970 FAIRVIEW RD STE 600
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City | CHARLOTTE
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State | NC
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Zip | 28210-2111
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Country | US
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Telephone | 910-941-8761
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Fax | 910-335-8018
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Provider Business Mailing Address
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Address Line | 1202 COLONIAL DR
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City | ALBEMARLE
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State | NC
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Zip | 28001-2953
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Country | US
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Telephone | 910-941-8761
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Fax | 910-335-8018
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11052
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A23261
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License Number State | NC
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