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General NPI Number Information
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NPI Number | 1881391647
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Entity Type | Individual
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Provider Name | SARAH ANN PRANGER MS, LLMFT
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 10740 OLD US HIGHWAY 27 S
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City | GAYLORD
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State | MI
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Zip | 49735
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Country | US
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Telephone | 231-499-8066
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 478
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City | KALKASKA
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State | MI
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Zip | 49646-0478
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Country | US
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Telephone | 231-499-8066
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4151001090
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License Number State | MI
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