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General NPI Number Information
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NPI Number | 1992162903
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Entity Type | Organization
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Legal Business Name | SARAH TRANCE THERAPY
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 271 MADISON AVE SUITE 708
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City | NEW YORK
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State | NY
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Zip | 10016-1001
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Country | US
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Telephone | 347-760-0431
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Fax |
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Provider Business Mailing Address
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Address Line | 106 5TH AVE 2
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City | BROOKLYN
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State | NY
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Zip | 11217-3202
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Country | US
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Telephone | 607-743-6717
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | SARAH E TRANCE
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Credential | M.S., L.M.F.T.
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Telephone | 607-743-6717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | P001057
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License Number State | NY
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