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General NPI Number Information
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NPI Number | 1063408060
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Entity Type | Individual
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Provider Name | SHERYL BELLMAN L.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 09/25/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4801 S UNIVERSITY DR SUITE 205
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City | DAVIE
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State | FL
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Zip | 33328-3839
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Country | US
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Telephone | 954-424-3613
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Fax | 954-441-8864
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Provider Business Mailing Address
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Address Line | 1778 SW 81ST WAY
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City | DAVIE
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State | FL
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Zip | 33324-4608
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Country | US
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Telephone | 954-424-3613
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Fax | 954-441-8864
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW0002917
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License Number State | FL
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