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NPI 1932022084

NPI 1932022084 : SARAH NOELLE BOTTS : CHARLOTTESVILLE, VA

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General NPI Number Information
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    NPI Number           |    1932022084
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH NOELLE BOTTS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2026
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    Last Update Date     |    08/04/2026
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Provider Practice Location Address
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    Address Line         |    500 OLD LYNCHBURG RD 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22903-6550
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    Country              |    US
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    Telephone            |    434-972-1800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    116 S JACKSON AVE 
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    City                 |    WAYNESBORO
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    State                |    VA
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    Zip                  |    22980-5934
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    Country              |    US
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    Telephone            |    775-686-8041
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    0904020597
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    License Number State |    VA
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