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General NPI Number Information
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NPI Number | 1760718506
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Entity Type | Individual
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Provider Name | SARAH L. WALSH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 17235 N 75TH AVE E-170
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City | GLENDALE
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State | AZ
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Zip | 85308-0831
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Country | US
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Telephone | 623-262-1934
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Fax | 602-795-3980
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Provider Business Mailing Address
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Address Line | 17235 N 75TH AVE E-170
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City | GLENDALE
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State | AZ
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Zip | 85308-0831
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Country | US
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Telephone | 623-262-1934
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Fax | 602-795-3980
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4047
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License Number State | AZ
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