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General NPI Number Information
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NPI Number | 1922614247
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Entity Type | Individual
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Provider Name | SARAH GREENSPAN LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1150 SHUNPIKE RD
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City | SHREWSBURY
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State | VT
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Zip | 05738-9713
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Country | US
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Telephone | 571-286-7773
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S MAIN ST # 1036
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City | RUTLAND
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State | VT
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Zip | 05701-4907
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Country | US
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Telephone | 802-417-2203
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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 | 068.0134254
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License Number State | VT
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