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General NPI Number Information
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NPI Number | 1780064394
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Entity Type | Individual
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Provider Name | SARAH MAGINNIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 445 W AMELIA ST
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City | ORLANDO
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State | FL
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Zip | 32801-1129
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Country | US
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Telephone | 321-287-2859
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Fax |
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Provider Business Mailing Address
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Address Line | 577 PERU CT
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City | ORLANDO
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State | FL
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Zip | 32807-1389
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Country | US
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Telephone | 321-287-2859
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ISW9793
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 1282042
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW17096
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License Number State | FL
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