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General NPI Number Information
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NPI Number | 1841041969
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Entity Type | Organization
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Legal Business Name | SARAH WEST, LLC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 6846 S CANTON AVE STE 520L
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City | TULSA
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State | OK
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Zip | 74136-3417
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Country | US
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Telephone | 918-922-8127
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Fax |
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Provider Business Mailing Address
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Address Line | 7211 E 112TH PL S
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City | BIXBY
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State | OK
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Zip | 74008-2153
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Country | US
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Telephone | 918-607-7031
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SARAH WEST
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Credential | LCSW
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Telephone | 918-607-7031
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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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