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General NPI Number Information
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NPI Number | 1710705819
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Entity Type | Individual
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Provider Name | SARAH MARIE HADDAD PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 220 5TH AVE 11TH FLOOR, SUITE 4
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City | NEW YORK
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State | NY
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Zip | 10001-7708
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Country | US
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Telephone | 212-564-0480
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Fax |
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Provider Business Mailing Address
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Address Line | 220 5TH AVE 11TH FLOOR, SUITE 4
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City | NEW YORK
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State | NY
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Zip | 10001-7708
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 15193
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15444200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 407433
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | TPAN3824
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 174839
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 808739
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR27410500
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License Number State | NJ
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