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General NPI Number Information
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NPI Number | 1811287329
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH GROVE LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1801 17TH AVE SE STE 101
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City | ALBANY
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State | OR
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Zip | 97322-7364
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Country | US
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Telephone | 913-549-6543
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 17TH AVE SE STE 101
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City | ALBANY
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State | OR
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Zip | 97322-7364
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Country | US
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Telephone | 541-264-4748
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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 | L16997
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6977
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License Number State | TN
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