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General NPI Number Information
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NPI Number | 1902487887
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Entity Type | Individual
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Provider Name | SARAH JEANNE KINNEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 4807 FREEMANSBURG AVE STE 100
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City | EASTON
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State | PA
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Zip | 18045-5522
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Country | US
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Telephone | 484-591-7620
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Fax | 484-591-7621
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone | 484-884-0688
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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 | 44SL06326300
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License Number State | NJ
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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 | 44SC06038800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW022505
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License Number State | PA
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