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General NPI Number Information
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NPI Number | 1992470090
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Entity Type | Individual
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Provider Name | SARA FARMER LSW
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Gender | Female
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 803 N MONROE ST
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City | BLOOMINGTON
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State | IN
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Zip | 47404-3321
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Country | US
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Telephone | 812-322-1226
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Fax |
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Provider Business Mailing Address
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Address Line | 8191 E NORTHSHORE DR
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City | UNIONVILLE
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State | IN
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Zip | 47468-9768
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Country | US
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Telephone | 812-322-1226
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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 | 33009750A
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License Number State | IN
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