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General NPI Number Information
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NPI Number | 1699983213
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Entity Type | Individual
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Provider Name | SANDRA SPARROW PERRY LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2557 CEDAR DELL LN
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City | KINSTON
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State | NC
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Zip | 28504-9113
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Country | US
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Telephone | 252-527-4409
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Fax | 252-527-4422
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Provider Business Mailing Address
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Address Line | 731 WEST ST
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City | NEW BERN
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State | NC
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Zip | 28560-4851
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Country | US
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Telephone | 252-637-5687
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Fax | 252-637-9526
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1174
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License Number State | NC
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