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General NPI Number Information
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NPI Number | 1902622756
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Entity Type | Individual
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Provider Name | SARAH AMBURN M.A, C.A.S
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 200 E NORTH AVE
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City | BALTIMORE
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State | MD
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Zip | 21202-5984
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Country | US
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Telephone | 410-396-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 5422 KILLINGWORTH WAY
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City | COLUMBIA
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State | MD
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Zip | 21044-1816
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Country | US
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Telephone | 443-465-6303
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | MD
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