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General NPI Number Information
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NPI Number | 1760817951
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Entity Type | Individual
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Provider Name | SARA KRISTEN KUNTZ L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 2700 W 21ST ST SUITE 3
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City | ERIE
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State | PA
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Zip | 16506-2972
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Country | US
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Telephone | 724-771-4410
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Fax |
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Provider Business Mailing Address
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Address Line | 841 W 50TH ST
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City | ERIE
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State | PA
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Zip | 16509-2513
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Country | US
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Telephone | 724-771-4410
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC007107
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License Number State | PA
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