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NPI 1659903482

NPI 1659903482 : MRS. SARAH CALHOUN : NORTH CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1659903482
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. SARAH CALHOUN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/10/2020
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    Last Update Date     |    02/10/2020
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Provider Practice Location Address
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    Address Line         |    2470 MALL DR UNIT CD 
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    City                 |    NORTH CHARLESTON
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    State                |    SC
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    Zip                  |    29406-6514
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    Country              |    US
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    Telephone            |    843-207-4721
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    302 PINEHURST AVE 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29483-3526
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    Country              |    US
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    Telephone            |    
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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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