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General NPI Number Information
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NPI Number | 1689208944
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH CRAVERO
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Gender | Female
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 324 HIGHLAND PARK DR
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City | RICHMOND
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State | KY
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Zip | 40475-3487
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Country | US
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Telephone | 859-358-7095
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Fax |
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Provider Business Mailing Address
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Address Line | 3808 BARNARD DR
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City | LEXINGTON
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State | KY
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Zip | 40509-2362
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Country | US
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Telephone | 859-338-0157
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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