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General NPI Number Information
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NPI Number | 1669079547
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Entity Type | Individual
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Provider Name | SARAH PHILLIPS PHD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 1 LONG WHARF DR STE G7
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City | NEW HAVEN
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State | CT
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Zip | 06511-5991
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Country | US
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Telephone | 203-974-5702
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Fax |
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Provider Business Mailing Address
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Address Line | 6802 WOODGATE RD
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City | MIDDLETON
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State | WI
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Zip | 53562-3819
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Country | US
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Telephone | 608-628-9823
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 003920
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License Number State | CT
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