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General NPI Number Information
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NPI Number | 1720877962
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Entity Type | Individual
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Provider Name | KRISTIN SAWYER
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1019 HIGHWAY 17 S STE 120
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-3702
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Country | US
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Telephone | 843-331-5106
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Fax |
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Provider Business Mailing Address
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Address Line | 730 FARROW PKWY UNIT D
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-0704
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Country | US
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Telephone | 240-687-5774
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8461
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License Number State | SC
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