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General NPI Number Information
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NPI Number | 1922549914
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Entity Type | Individual
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Provider Name | SARAH LARKIN BIRDSONG LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 331 LEONARD ST
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City | BROOKLYN
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State | NY
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Zip | 11211-2309
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Country | US
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Telephone | 513-818-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 187 ENGERT AVE APT 1R
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City | BROOKLYN
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State | NY
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Zip | 11222-5247
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Country | US
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Telephone | 909-455-4549
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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 | 007283
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License Number State | NY
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