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General NPI Number Information
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NPI Number | 1992171540
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Entity Type | Individual
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Provider Name | SARA TERESA CRUET BARRETO LISW, ACSW, M-RAS
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Gender | Female
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER DR. HITZELBERGER STRASSE
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City | LANDSTUHL / KIRCHBERG
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State | RHINELAND-PFALZ
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Zip | 66849
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Country | DE
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Telephone | 314-590-8326
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 473 BOX 2339
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City | APO
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State | AE
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Zip | 09606-1024
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Country | US
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Telephone | 314-636-9900
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12871
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License Number State | PR
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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 | I.2304341
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License Number State | OH
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