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General NPI Number Information
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NPI Number | 1841690955
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Entity Type | Individual
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Provider Name | SARA CARPENTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 8150 WORNALL RD
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City | KANSAS CITY
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State | MO
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Zip | 64114-5806
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Country | US
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Telephone | 816-401-6030
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Fax |
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Provider Business Mailing Address
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Address Line | 4875 S ARGONNE ST
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City | AURORA
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State | CO
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Zip | 80015-4921
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Country | US
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Telephone | 816-401-6030
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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 | 2014028745
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License Number State | MO
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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 | CSW.09925207
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License Number State | CO
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