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General NPI Number Information
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NPI Number | 1982030011
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Entity Type | Individual
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Provider Name | SARA TODD LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/09/2023
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Provider Practice Location Address
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Address Line | 2002 ATWOOD AVE STE 217
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City | MADISON
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State | WI
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Zip | 53704-5382
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Country | US
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Telephone | 920-215-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WILBURN RD STE 100
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-1478
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Country | US
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Telephone | 920-215-1254
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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 | 11081-123
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License Number State | WI
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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 | 256456
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License Number State | KY
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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 | L7413
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License Number State | OR
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