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General NPI Number Information
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NPI Number | 1750207148
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Entity Type | Individual
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Provider Name | SARAH PUNZALAN BSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2429 8TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25703-1901
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Country | US
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Telephone | 681-378-6530
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Fax |
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Provider Business Mailing Address
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Address Line | 134 JEFFERSON PARK DR
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City | HUNTINGTON
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State | WV
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Zip | 25705-2613
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Country | US
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Telephone | 681-360-2777
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | AP00947471
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License Number State | WV
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