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General NPI Number Information
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NPI Number | 1790924694
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Entity Type | Individual
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Provider Name | SARA DOWNING EDWARDS M.A., ABD, L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 949 EGG HARBOR RD
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City | STURGEON BAY
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State | WI
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Zip | 54235-1229
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Country | US
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Telephone | 920-559-2278
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Fax | 920-746-8340
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Provider Business Mailing Address
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Address Line | 949 EGG HARBOR RD
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City | STURGEON BAY
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State | WI
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Zip | 54235-1229
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Country | US
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Telephone | 920-559-2278
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Fax | 920-746-8340
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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 | 4173-125
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License Number State | WI
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