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NPI Code Detail

MEDICARE: CHERYL A PEPPERS PHD

MEDICARE: CHERYL A PEPPERS PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1275146722
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHERYL A PEPPERS PHD
Provider Business Mailing Address
First Line : PO BOX 5825
Second Line :
City : SARASOTA
State : FL
Zip : 34277-5825
Country : US
Telephone Number : 941-961-4818
Fax Number :
Provider Business Practice Location Address
First Line : 73 S PALM AVE STE 215
Second Line :
City : SARASOTA
State : FL
Zip : 34236-5612
Country : US
Telephone Number : 941-342-1653
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHERYL A PEPPERS
Credential : PHD
Telephone Number : 941-961-4818
Provider Enumeration Date : 08/25/2020
Last Update Date : 08/25/2020

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