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General NPI Number Information
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NPI Number | 1679088199
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Entity Type | Individual
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Provider Name | SABRINA DAHL FITZPATRICK LMSW, LMHP-S
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Gender | Female
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 6330 NEWTOWN RD STE 300
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City | NORFOLK
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State | VA
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Zip | 23502-4805
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Country | US
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Telephone | 757-466-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 4951 KEMPS LAKE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4387
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Country | US
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Telephone | 517-745-1844
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0903002427
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License Number State | VA
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