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General NPI Number Information
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NPI Number | 1740446319
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Entity Type | Individual
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Provider Name | SARA RACHEL ELKINS BA
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Gender | Female
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 4349 MARTIN LUTHER KING BLVD HEALTH 2 BLDG SUITE 1001E
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City | HOUSTON
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State | TX
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Zip | 77204-0001
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Country | US
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Telephone | 713-743-9682
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Fax | 713-743-1049
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Provider Business Mailing Address
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Address Line | DEPT 888182
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City | KNOXVILLE
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State | TN
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Zip | 37995-0001
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Country | US
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Telephone | 800-355-3565
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Fax | 423-714-2355
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 36810
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36810
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License Number State | TX
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