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General NPI Number Information
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NPI Number | 1770450074
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Entity Type | Individual
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Provider Name | SARA INDELICATO
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Gender | Female
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 64 OLD RIVERHEAD RD UNIT A
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City | WESTHAMPTON BEACH
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State | NY
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Zip | 11978-1451
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Country | US
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Telephone | 631-336-9990
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 OLD TOWN RD
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City | CORAM
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State | NY
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Zip | 11727-1846
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Country | US
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Telephone | 516-983-8587
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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