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NPI 1720697394

NPI 1720697394 : SARA MARGARET ELIAS MSW, LISW : TOLEDO, OH

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General NPI Number Information
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    NPI Number           |    1720697394
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    Entity Type          |    Individual 
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    Provider Name        |    SARA MARGARET ELIAS MSW, LISW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2020
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    Last Update Date     |    01/23/2023
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Provider Practice Location Address
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    Address Line         |    3335 MEIJER DR STE 450 
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43617-3122
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    Country              |    US
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    Telephone            |    614-582-2577
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3335 MEIJER DR STE 450 
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43617-3122
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    Country              |    US
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    Telephone            |    614-582-2577
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    Fax                  |    419-671-8026
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    I.2203744
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    License Number State |    OH
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